CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: West Penn Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$847

about 0.1× the $6,176 Medicare rate · typically $778–$2,031

modeled estimate · not a bill or quote

What this hospital charges insurers

$855

About the fair price

about $8 over the fair price · 0.1× Medicare

Medicare pays $6,176 Fair price $847 This hospital $855 Cash price $504 Hospital's list price $1,866

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Lowest price of the 9 PA hospitals we have prices for — a strong deal.

Cheapest $855 Priciest $4,296

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $847 (about 0.1× the $6,176 Medicare rate). West Penn Hospital charges insurers about $855, or about $504 in cash — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$171 - $19,695	3%
Blue Cross Blue Shieldmajor	$710 - $14,244	11%
Aetnamajor	$931 - $18,578	15%
Cignamajor	$1,055 - $18,623	17%
Humanamajor	$5,950	96%
AmeriHealth	$124 - $5,893	2%
Geisinger	$171 - $1,242	3%
Medical Mutual	$18,623	302%
Molina	$6,118	99%
+ 5 smaller / regional plans	$156 - $5,613

Government programs also on file: Medicare.

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 504), 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 West Penn Hospital 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 West Penn Hospital

Compare: Gallbladder removal (laparoscopic) at other PA hospitals

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
Conemaugh Meyersdale Medical Center · Meyersdale $4,296

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