CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Surgical Institute of Reading

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,498
Cash Discount Price: $8,722
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Surgical Institute of Reading is $5,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,722. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 2752 Century Boulevard, Wyomissing, PA.

Cash / Self-Pay

$8,722

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,498

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: $8,722 (141%)

Insurance Median: $5,498 (89%)

Cash: $8,722 (141% of Medicare)

Ins. Median: $5,498 (89% 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
Highmark	$730	12%
Bhp	$2,415 - $5,498	39%
Devon	$3,916	63%
Aetna	$4,438 - $5,498	72%
First Health	$4,438	72%
Tricare	$4,569	74%
Geisinger Health Plan	$5,498 - $8,246	89%
Unison	$5,498	89%
Blue Cross Blue Shield	$6,177	100%
United	$12,394	201%
Cigna	$305,464	4946%

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 $8,722.
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 Surgical Institute of Reading 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.