CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lehigh Valley Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,451
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lehigh Valley Hospital is $6,451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.04x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,451

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%)
Insurance Median: $6,451 (104%)
Ins. Median: $6,451 (104% 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.

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
Amerihealth Caritas $854 - $1,397 14%
UnitedHealthcare $954 - $20,676 15%
Geisinger $970 - $26,749 16%
Highmark Wholecare/Gateway $986 16%
Jefferson Health Partners $1,048 - $12,172 17%
Pa Health & Wellness $1,048 17%
Aetna $1,125 - $33,753 18%
Keystone First $1,125 18%
Upmc $1,277 - $29,639 21%
Amerihealth $6,086 - $6,269 99%
Blue Cross Blue Shield $6,086 99%
Ibc $6,086 - $22,152 99%
Highmark Blue Shield $6,208 - $19,676 101%
Cigna $6,269 - $25,486 101%
Devoted Health $6,451 104%
Humana $6,451 104%
Gateway $6,512 105%
Emblem $6,573 - $27,144 106%
Pa Health & Wellness (Allwell) $6,695 108%
Ambetter / Centene $18,459 299%
Valley Preferred $35,491 575%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals