CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Reading Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $735
Cash Discount Price: $1,385
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Reading Hospital is $735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,385. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$1,385

Average discount available for prompt cash payment at this facility.

Insurance Median

$735

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)

Cash / Self-Pay: $1,385 (22%)

Insurance Median: $735 (12%)

Cash: $1,385 (22% of Medicare)

Ins. Median: $735 (12% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6,176.47 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Geisinger	$417 - $772	7%
Humana	$516 - $624	8%
UnitedHealthcare	$595 - $973	10%
Blue Cross Blue Shield	$601 - $1,361	10%
Highmark	$607 - $735	10%
Upmc	$607 - $746	10%
Amerihealth Caritas	$612 - $952	10%
Aetna	$624 - $2,277	10%
Health America	$624	10%
Devoted Health	$631	10%
Health Partners	$637 - $794	10%
Pa Health & Wellness	$637 - $971	10%
Gateway	$648 - $754	10%
Lehigh Valley Health Network	$891	14%
Cigna	$1,793	29%
First Health	$2,456	40%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,385.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Reading Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.