CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UPMC Somerset

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,847

about 0.5× the $6,176 Medicare rate · typically $847–$5,706

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $2,847 Cash price $2,270 Hospital's list price $3,784

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$892 - $5,562	14%
Blue Cross Blue Shieldmajor	$676 - $10,442	11%
Aetnamajor	$1,514 - $5,526	25%
Humanamajor	$2,838 - $10,362	46%
AmeriHealth	$5,562	90%
Geisinger	$1,490 - $7,599	24%
UPMC Health Plan	$626 - $5,674	10%

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,270), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Somerset is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Somerset

Compare: Gallbladder removal (laparoscopic) at other PA hospitals

West Penn Hospital · Pittsburgh $855
Ahn Wexford Hospital · Wexford $855
Magee Memorial Hospital for Convalescents · Philadelphia $1,029
Jefferson Abington Hospital · Abington $1,137
UPMC Wellsboro · Wellsboro $1,204
Geisinger Jersey Shore Hospital · Jersey Shore $2,334
Advanced Surgical Hospital · Washington $2,499
Conemaugh Memorial Medical Center · Johnstown $2,932

Insurance negotiated median for the same procedure, sorted lowest first.