CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Milton S Hershey Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,826
Cash Discount Price: $12,564
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Milton S Hershey Medical Center is $6,826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,564. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.11x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$12,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,826

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: $12,564 (203%)

Insurance Median: $6,826 (111%)

Cash: $12,564 (203% of Medicare)

Ins. Median: $6,826 (111% 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
[Amerihealth Caritas]	$5,450 - $6,412	88%
[Highmark Wholecare]	$5,450 - $6,412	88%
[Geisinger]	$5,771 - $28,260	93%
[Health Partners Plans]	$5,963 - $6,540	97%
[Pa Health & Wellness]	$5,995 - $6,604	97%
[Highmark]	$6,348 - $34,481	103%
Aetna	$6,476 - $25,685	105%
Humana	$6,476	105%
[Healthspring]	$6,476	105%
UnitedHealthcare	$6,540 - $27,342	106%
[Upmc]	$6,540 - $28,018	106%
[Cbc]	$6,826 - $25,116	111%
[Point Comfort Underwriters]	$8,015	130%
[Highmark Aca]	$24,136	391%
Cigna	$24,244	393%
[Highmark Choice Blue]	$27,585	447%
[Preferred Healthcare Systems]	$28,442	460%
[First Health]	$30,338	491%
[Multiplan]	$30,338	491%

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 $12,564.
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 Milton S Hershey Medical Center 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.