CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: St Mary Medical Center
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $295
- Cash Discount Price: $1,451
- vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Mary Medical Center is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,451. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$1,451
Average discount available for prompt cash payment at this facility.
Insurance Median
$295
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: $1,451 (23%)
Insurance Median: $295 (5%)
Cash: $1,451 (23% of Medicare)
Ins. Median: $295 (5% 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 |
|---|---|---|
| Health America Advantra | $64 - $7,821 | 1% |
| Medicare (plans) | $64 - $11,731 | 1% |
| Medicaid / KanCare | $68 - $5,214 | 1% |
| Prime Healthcare | $69 - $11,731 | 1% |
| Geha | $71 - $7,156 | 1% |
| Health Partners | $71 - $441 | 1% |
| Jefferson Health Plan Commercial | $71 - $11,862 | 1% |
| UnitedHealthcare | $71 - $7,156 | 1% |
| Ambetter / Centene | $76 - $11,634 | 1% |
| Oscar | $79 - $11,731 | 1% |
| Aetna | $85 - $6,898 | 1% |
| Cigna | $97 - $6,579 | 2% |
| Homestead Health Plans Woods Center | $103 - $12,709 | 2% |
| Group Pension Administrators | $119 - $14,664 | 2% |
| Reedman Toll | $119 - $14,664 | 2% |
| Coventry | $127 - $796 | 2% |
| Health America | $127 - $796 | 2% |
| Meritain | $127 - $796 | 2% |
| Devon Health Services | $209 - $1,314 | 3% |
| First Health | $209 - $1,314 | 3% |
| Humana | $209 - $1,314 | 3% |
| Prime Health Services | $221 - $1,387 | 4% |
| Three Rivers Provider Network | $221 - $1,387 | 4% |
| Community Health Choice | $265 - $295 | 4% |
| Albany County Correctional Facility | $295 | 5% |
| Amish Mennonite | $295 | 5% |
| Ascension St. Vincent Public Safety Medical | $295 | 5% |
| Bcccp-Michigan | $295 | 5% |
| Bccp | $295 | 5% |
| Blue Cross Blue Shield | $295 - $6,517 | 5% |
| Bmc Healthnet | $295 | 5% |
| Breast Grant-Connecticut | $295 | 5% |
| Broward County Dept Of Health | $295 | 5% |
| California Health And Wellness | $295 | 5% |
| Cardinal Innovations Lme | $295 | 5% |
| Care Connections Of Northern Iowa | $295 | 5% |
| Care Oregon Ohp | $295 | 5% |
| Cencal Health Plan | $295 | 5% |
| Cenpatico | $295 | 5% |
| Chhuny | $295 | 5% |
| Childrens Comm Health Plan | $295 | 5% |
| Childrens Medical Services Title 19 | $295 | 5% |
| City Of Philadelphia | $295 | 5% |
| Cmh Allegan County | $295 | 5% |
| Cmh Ausable Valley | $295 | 5% |
| Cmh Barry County | $295 | 5% |
| Cmh Bay-Arenac County | $295 | 5% |
| Cmh Berrien County | $295 | 5% |
| Cmh Cass County | $295 | 5% |
| Cmh Central Mi County | $295 | 5% |
| Cmh Clinton-Eaton-Ingham County | $295 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $295 | 5% |
| Cmh Genesee County | $295 | 5% |
| Cmh Ionia County | $295 | 5% |
| Cmh Jackson County/Lifeways | $295 | 5% |
| Cmh Kalamazoo | $295 | 5% |
| Cmh Kent County | $295 | 5% |
| Cmh Lenawee County | $295 | 5% |
| Cmh Livingston County | $295 | 5% |
| Cmh Macomb | $295 | 5% |
| Cmh Misc | $295 | 5% |
| Cmh Monroe County | $295 | 5% |
| Cmh Montcalm County | $295 | 5% |
| Cmh Muskegon County | $295 | 5% |
| Cmh Newaygo County | $295 | 5% |
| Cmh North Country | $295 | 5% |
| Cmh Northern Lakes County | $295 | 5% |
| Cmh Oakland County | $295 | 5% |
| Cmh Ottawa County | $295 | 5% |
| Cmh Van Buren County | $295 | 5% |
| Cmh Washtenaw County | $295 | 5% |
| Cmh Wayne County/Carelink | $295 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $295 | 5% |
| Cmh West Mi County | $295 | 5% |
| Community Benefit Health | $295 | 5% |
| Community Care Behavorial Health | $295 | 5% |
| Community Care Partners | $295 | 5% |
| Connections Csp | $295 | 5% |
| County Coroner | $295 | 5% |
| County Funding Generic | $295 | 5% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $295 | 5% |
| Dean Wi Badgercare | $295 | 5% |
| Delaware County Department Of Health | $295 | 5% |
| Delaware First Health | $295 | 5% |
| Delta Dental Nj | $295 | 5% |
| Dph Tb Program | $295 | 5% |
| Dscc | $295 | 5% |
| Eastpointe Lme | $295 | 5% |
| Family Health Network | $295 | 5% |
| Freedom First Healthcare | $295 | 5% |
| Fresno County Ccs | $295 | 5% |
| Ghc Scw Wi Badgercare | $295 | 5% |
| Harbor Health | $295 | 5% |
| Health Safety Net | $295 | 5% |
| Healthy Blue Ne | $295 | 5% |
| Hennepin Health | $295 | 5% |
| Id County Ada | $295 | 5% |
| Id County Canyon | $295 | 5% |
| Id County Cat Fund | $295 | 5% |
| Id County Other | $295 | 5% |
| Id County Payette | $295 | 5% |
| Idaho Dept Health And Wellfare | $295 | 5% |
| Idaho Womens Health Check | $295 | 5% |
| Indiana Breast Cervical Cancer | $295 | 5% |
| Inland Empire Health Plan | $295 | 5% |
| Intercommunity Health Ohp | $295 | 5% |
| Iowa Total Care | $295 | 5% |
| Jai Medical System | $295 | 5% |
| Kern Family Health Plan | $295 | 5% |
| Keystone First | $295 - $4,110 | 5% |
| Keystone First Chip | $295 - $4,110 | 5% |
| La Care Health Plan | $295 | 5% |
| Lakeland Care Inc | $295 | 5% |
| Managed Health Services - Indiana | $295 | 5% |
| Maryland Breast & Cervical Program | $295 | 5% |
| Maryland Healthy Smiles - Scion Dental | $295 | 5% |
| Maryland Physicians Care | $295 | 5% |
| Massachusetts Behavioral Health Partnership | $295 | 5% |
| Mdwise | $295 | 5% |
| Medi-Cal | $295 | 5% |
| Medi-Cal Healthnet | $295 | 5% |
| Medstar Dc Healthy Family | $295 | 5% |
| Medstar Md Health Choice | $295 | 5% |
| Mo Home State Health Plan | $295 | 5% |
| Molina Centennial Care | $295 | 5% |
| Nascentia Health Options | $295 | 5% |
| Nebraska Total Care | $295 | 5% |
| New York Cancer Services Program | $295 | 5% |
| Nextlevel Health | $295 | 5% |
| Oregon Screenwise | $295 | 5% |
| Pace Of Southwest Michigan | $295 - $325 | 5% |
| Paramount Advantage | $295 | 5% |
| Parkland Community Health Plan | $295 | 5% |
| Partners Behavioral Lme | $295 | 5% |
| Peach State Healthplan | $295 | 5% |
| Philadelphia County Funding | $295 | 5% |
| Presbyterian Centennial Care | $295 | 5% |
| Prestige Health Choice | $295 | 5% |
| Priority Partners | $295 | 5% |
| Robert F Sing Program | $295 | 5% |
| Rx 340B Pass Along | $295 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $295 | 5% |
| Rx Medi-Cal | $295 | 5% |
| Rx Meridian Rx | $295 | 5% |
| Ryan White Florida Mssrp | $295 | 5% |
| Sandhills Center Lme | $295 | 5% |
| Screening For Life | $295 | 5% |
| St Joseph County Hlth Dpt | $295 | 5% |
| Stephenson Cty Health | $295 | 5% |
| Sunshine State Health Plan | $295 | 5% |
| Superior Health | $295 | 5% |
| Tenncare | $295 | 5% |
| Texas Children'S Health Plan | $295 | 5% |
| Trillium Community Ohp | $295 | 5% |
| Tufts Health Public Plans | $295 | 5% |
| Vaya Health Lme | $295 | 5% |
| Washtenaw Health Plan | $295 | 5% |
| Wellsense Health Plan | $295 | 5% |
| Wi Womens Wellness | $295 | 5% |
| Align Senior Care | $325 - $6,648 | 5% |
| Ally Align Care Adv | $325 | 5% |
| American Health Advantage Of Idaho | $325 | 5% |
| American Health Plan | $325 | 5% |
| Aurora Special Needs | $325 | 5% |
| Blue Care Network Advantage | $325 | 5% |
| Blue Shield - De (Highmark) Medciare Advantage | $325 | 5% |
| Care Dimensions | $325 | 5% |
| Care Improvement Plus | $325 | 5% |
| Care Resources Pace | $325 | 5% |
| Careplus Health Plans | $325 | 5% |
| Cca - Zing Health | $325 | 5% |
| Cca Senior Care Options | $325 | 5% |
| Central Valley Medical Services Corp Pace | $325 | 5% |
| Champion Health Plan Mcr Advantage | $325 | 5% |
| Clear Spring Health | $325 | 5% |
| Clover Health | $325 | 5% |
| Commonwealth Care Alliance | $325 | 5% |
| Community Pace At Home | $325 | 5% |
| Eddy Senior Care-Pace | $325 | 5% |
| Eddy Seniorcare Pace | $325 | 5% |
| Elementcare | $325 | 5% |
| Everence | $325 | 5% |
| Gateway Health Plan | $325 | 5% |
| Genesys Pace Of Genesee County | $325 | 5% |
| Georgia Health Advantage | $325 | 5% |
| Gold Advantage | $325 | 5% |
| Gpa Croell Redi Mix | $325 | 5% |
| Highmark Health Options Dual Plan | $325 | 5% |
| Hope Select Pace | $325 | 5% |
| Horizon Nj Total Care | $325 | 5% |
| Hudson Headwaters Pace | $325 | 5% |
| Huron Valley Pace | $325 | 5% |
| Innovative Integrated Health Community Plans | $325 | 5% |
| Iowa Health Advantage | $325 | 5% |
| Johns Hopkins Advantage Md | $325 | 5% |
| Lasso Healthcare Msa | $325 | 5% |
| Life St Marys Pace | $325 | 5% |
| Lifecircles Pace | $325 | 5% |
| Longevity Health Plan | $325 | 5% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $325 | 5% |
| Martins Point Generations Advantage | $325 | 5% |
| Mass General Brigham Mcr Adv | $325 | 5% |
| Medipak Advantage | $325 | 5% |
| Mercy Life | $325 | 5% |
| Mercyone Cedar Valley | $325 | 5% |
| Meridian Complete | $325 | 5% |
| Michigan Complete Health | $325 | 5% |
| Nascentia Health Plus | $325 | 5% |
| New Centry Health Careplus | $325 | 5% |
| Osu Prime Care Advantage | $325 | 5% |
| Pace Cny | $325 | 5% |
| Pace Iowa Immanuel Pathways | $325 | 5% |
| Pace Southeast | $325 | 5% |
| Pace-Trinity Health | $325 | 5% |
| Peak Pace Solutions | $325 | 5% |
| Perennial Advantage | $325 | 5% |
| Preferred Care Partners | $325 | 5% |
| Presbyterian Senior Plan | $325 | 5% |
| Provider Partners Health Plan Of Illinois | $325 | 5% |
| Provider Partners Health Plan Of Indiana | $325 | 5% |
| Pruitthealth Premier | $325 | 5% |
| Reliance Community Care Partners Care Resources Pace | $325 | 5% |
| Rx Allwin | $325 | 5% |
| Rx Grane Grnmedd | $325 | 5% |
| Rx Retiree Rx Care | $325 | 5% |
| Scan Health Plan Mcr Ipa Meritage Oon | $325 | 5% |
| Secure Horizons Ma Pffs | $325 | 5% |
| Serenity Pace | $325 | 5% |
| Siouxland Pace | $325 | 5% |
| Solis Health Plans | $325 | 5% |
| Sunnyview-Pace Finance Dept | $325 | 5% |
| Texan Plus | $325 | 5% |
| The Health Plan | $325 | 5% |
| Thome Pace | $325 | 5% |
| Todays Options | $325 | 5% |
| Tribute Health Plans | $325 | 5% |
| Um Health Advantage | $325 | 5% |
| Union Health Service | $325 | 5% |
| Welbe Health | $325 | 5% |
| Wellmed | $325 | 5% |
| Champva | $328 | 5% |
| Tricare | $328 | 5% |
| Triwest Health Alliance | $328 | 5% |
| Us Family Health Plan | $328 | 5% |
| Veterans Eval Services | $328 | 5% |
| Evercare | $331 | 5% |
| Veterans Administration | $332 | 5% |
| Amerihealth | $373 - $4,857 | 6% |
| Bcn Domestic | $373 | 6% |
| Blue Benefit Administrators Of Massachusetts | $373 | 6% |
| Blue Care Network | $373 | 6% |
| Blue Distinction Transplant | $373 | 6% |
| Blue Shield - Ca | $373 - $4,857 | 6% |
| Blue Shield - Id (Regence) | $373 - $4,857 | 6% |
| Blue Shield - Ny Highmark Northeastern | $373 | 6% |
| Blue Shield - Ny Highmark Western | $373 - $4,857 | 6% |
| Blue Shield - Pa (Highmark) | $373 - $17,623 | 6% |
| Blue Shield - Wa (Regence) | $373 - $4,857 | 6% |
| Health Choices | $373 | 6% |
| Kaiser Domestic | $373 | 6% |
| Pre-Employment | $373 | 6% |
| Wc Domestic | $373 | 6% |
| Andrie Inc | $375 | 6% |
| East Greenbush Central School District | $375 | 6% |
| Genex Wc | $375 | 6% |
| Healthsmart Workers Comp | $375 | 6% |
| Jag Source | $375 | 6% |
| New York State Insurance Fund | $375 | 6% |
| Njm Insurance Group | $375 | 6% |
| Rx Heatlhcomp | $375 | 6% |
| Rx Restat | $375 | 6% |
| Rx Saif Opdp Wc | $375 | 6% |
| Rx Worker'S Comp | $375 | 6% |
| Wc Accident Fund | $375 | 6% |
| Wc Ace | $375 | 6% |
| Wc Acs Federal Employees | $375 | 6% |
| Wc Acuity | $375 | 6% |
| Wc Advantage | $375 | 6% |
| Wc Aegis | $375 | 6% |
| Wc Aig | $375 | 6% |
| Wc Aims | $375 | 6% |
| Wc Alaska National Ins | $375 | 6% |
| Wc Align Network | $375 | 6% |
| Wc Allied | $375 | 6% |
| Wc Am Trust N America | $375 | 6% |
| Wc American Claims Mgmt | $375 | 6% |
| Wc Amerisure | $375 | 6% |
| Wc Amtrust | $375 | 6% |
| Wc Asu Risk Mgt | $375 | 6% |
| Wc Benetech | $375 | 6% |
| Wc Berkley Admin | $375 | 6% |
| Wc Broadspire | $375 | 6% |
| Wc Broward County | $375 | 6% |
| Wc Bunch & Associates | $375 | 6% |
| Wc California State Comp Ins | $375 | 6% |
| Wc California State Ins Fund | $375 | 6% |
| Wc Capitol Area Health Consortium | $375 | 6% |
| Wc Ccmsi | $375 | 6% |
| Wc Chartis | $375 | 6% |
| Wc Chubb | $375 | 6% |
| Wc Cirma | $375 | 6% |
| Wc City Of Albany | $375 | 6% |
| Wc City Of Sioux City | $375 | 6% |
| Wc Claims Mgmt Inc | $375 | 6% |
| Wc Cna | $375 | 6% |
| Wc Comp One Admin C/O Manageability | $375 | 6% |
| Wc Compone Admin | $375 | 6% |
| Wc Corvel | $375 | 6% |
| Wc Ct Healthcare Trust | $375 | 6% |
| Wc Donegal Insurance Group | $375 | 6% |
| Wc Emc Insurance Company | $375 | 6% |
| Wc Employee Mutual | $375 | 6% |
| Wc Enablecomp | $375 | 6% |
| Wc Encore Health Network | $375 | 6% |
| Wc Erie | $375 | 6% |
| Wc Esis | $375 | 6% |
| Wc Evolutions | $375 | 6% |
| Wc Fcci | $375 | 6% |
| Wc Fed Ex | $375 | 6% |
| Wc Federal Black Lung | $375 | 6% |
| Wc Federated | $375 | 6% |
| Wc Finley Occupational Health | $375 | 6% |
| Wc First Agency/Occunet | $375 | 6% |
| Wc Ford Motor | $375 | 6% |
| Wc Fresno Unified Emp | $375 | 6% |
| Wc Gallagher Bassett | $375 | 6% |
| Wc General Motors | $375 | 6% |
| Wc Generic | $375 | 6% |
| Wc Genex Care For Ohio | $375 | 6% |
| Wc Great West Casualty | $375 | 6% |
| Wc Guarantee Insurance | $375 | 6% |
| Wc Guard Insurance Company | $375 | 6% |
| Wc Hab | $375 | 6% |
| Wc Hartford | $375 | 6% |
| Wc Hastings | $375 | 6% |
| Wc Health Management | $375 | 6% |
| Wc Heritage Summit | $375 | 6% |
| Wc Hireright | $375 | 6% |
| Wc Horizon | $375 | 6% |
| Wc Icw Group | $375 | 6% |
| Wc Idaho State Ins Fund | $375 | 6% |
| Wc Intercare Insurance | $375 | 6% |
| Wc Intermountain | $375 | 6% |
| Wc Johns Eastern | $375 | 6% |
| Wc Kemberton | $375 | 6% |
| Wc Key Ins & Benefit Solutions | $375 | 6% |
| Wc Liberty Mutual | $375 | 6% |
| Wc Mac Risk Management | $375 | 6% |
| Wc Massachusetts | $375 | 6% |
| Wc Mdia | $375 | 6% |
| Wc Meadowbrook Claim | $375 | 6% |
| Wc Medical Administrators | $375 | 6% |
| Wc Meijers | $375 | 6% |
| Wc Memic | $375 | 6% |
| Wc Mercy Workcare | $375 | 6% |
| Wc Michigan | $375 | 6% |
| Wc Michigan Millers Mutual | $375 | 6% |
| Wc Mitchell Frankenmuth | $375 | 6% |
| Wc Mra | $375 | 6% |
| Wc Nationwide | $375 | 6% |
| Wc Nca Comp | $375 | 6% |
| Wc New York | $375 | 6% |
| Wc New York Special Funds | $375 | 6% |
| Wc North American Rishces | $375 | 6% |
| Wc Northeast Health | $375 | 6% |
| Wc Notre Dame | $375 | 6% |
| Wc Novanet | $375 | 6% |
| Wc O'Hara Corp | $375 | 6% |
| Wc Occ Health Allen | $375 | 6% |
| Wc Ohio Bureau | $375 | 6% |
| Wc One Call Medical | $375 | 6% |
| Wc Paradigm | $375 | 6% |
| Wc Peerless | $375 | 6% |
| Wc Pma | $375 | 6% |
| Wc Praxis Health Network | $375 | 6% |
| Wc Price Chopper | $375 | 6% |
| Wc Procura Management | $375 | 6% |
| Wc Qualcare | $375 | 6% |
| Wc Quiktrip | $375 | 6% |
| Wc Reny Company | $375 | 6% |
| Wc Rev Claims | $375 | 6% |
| Wc Risico | $375 | 6% |
| Wc Rural Mutual | $375 | 6% |
| Wc Saif Oregon | $375 | 6% |
| Wc Secura | $375 | 6% |
| Wc Sedgwick | $375 | 6% |
| Wc Sentry | $375 | 6% |
| Wc Sheakley Unicomp | $375 | 6% |
| Wc Smile Lodge | $375 | 6% |
| Wc Society | $375 | 6% |
| Wc Srs | $375 | 6% |
| Wc Taconic (Mro) | $375 | 6% |
| Wc Taconic Farms | $375 | 6% |
| Wc Travelers | $375 | 6% |
| Wc Triad Group | $375 | 6% |
| Wc Tristar | $375 | 6% |
| Wc Troy Ny | $375 | 6% |
| Wc Tyson | $375 | 6% |
| Wc Unified Health Services | $375 | 6% |
| Wc United Heartland | $375 | 6% |
| Wc Us Dept Of Labor | $375 | 6% |
| Wc Velocity | $375 | 6% |
| Wc Walmart | $375 | 6% |
| Wc West Bend | $375 | 6% |
| Wc West Bend Mutual/Argent | $375 | 6% |
| Wc Winnebago Industries | $375 | 6% |
| Wc Yankee Trails | $375 | 6% |
| Wc York Risk | $375 | 6% |
| Wc Zenith | $375 | 6% |
| Wc Zurich | $375 | 6% |
| Multiplan | $726 - $730 | 12% |
| Upmc Health Plan | $4,615 | 75% |
| Webtpa | $4,615 | 75% |