CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,978
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Independence Health System Butler Memorial Hospita is $5,978. 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 0.97x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,978

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: $5,978 (97%)

Ins. Median: $5,978 (97% 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
Upmc	$920 - $7,914	15%
Pnoa	$1,471 - $6,174	24%
Ccbh - Behavioral Health	$2,215	36%
Workers Comp	$5,256	85%
Highmark	$5,501 - $11,840	89%
Life Butler County	$5,613	91%
Martin'S Point - Usfhp	$5,613	91%
Medicare (plans)	$5,613	91%
Peak Health	$5,613 - $13,190	91%
Provider Partners	$5,613	91%
Tricare	$5,613	91%
UnitedHealthcare	$5,613 - $14,395	91%
Aetna	$5,781 - $12,909	94%
Humana	$5,837	95%
Amerihealth	$5,893	95%
Geisinger	$5,893	95%
Devoted Health Plan	$5,950	96%
The Health Plan	$5,950 - $13,190	96%
Pa Health & Wellness	$6,006	97%
American Health Plan	$6,174	100%
Gateway	$6,301	102%
Highmark Aca - Direct Blue	$7,398	120%
Ellwood Group	$11,226	182%
Highmark Community Blue	$11,607	188%
Cigna	$12,824	208%
Highmark - Ind.& Managed Care	$13,155	213%

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 $X.
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 Independence Health System Butler Memorial Hospita 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.