CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lower Bucks Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,245
Cash Discount Price: $5,947
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lower Bucks Hospital is $6,245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,947. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.01x the Medicare baseline. Located in 501 Bath Road, Bristol, PA.

Cash / Self-Pay

$5,947

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,245

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: $5,947 (96%)

Insurance Median: $6,245 (101%)

Cash: $5,947 (96% of Medicare)

Ins. Median: $6,245 (101% 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
Medicaid / KanCare	$776	13%
Health Partners Plan	$1,582 - $8,921	26%
UnitedHealthcare	$2,040 - $12,705	33%
Pa Health & Wellness	$3,500 - $7,137	57%
Keystone	$3,634 - $6,185	59%
Humana	$4,758	77%
Blue Cross Blue Shield	$5,947 - $8,758	96%
Medicare (plans)	$5,947 - $6,245	96%
Tricare	$5,947	96%
Provider Patners Health Plan	$6,126	99%
Spartan Plan Pa	$6,245	101%
Auto Insurance	$6,542	106%
Worker Compensation	$6,721	109%
Employer Direct Healthcare	$8,326	135%
Cigna	$10,036 - $14,377	162%
Highmark	$10,036 - $13,245	162%

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 $5,947.
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 Lower Bucks 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.