CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lehigh Valley Hospital - Dickson City

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,950
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lehigh Valley Hospital - Dickson City is $5,950. 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 0.96x the Medicare baseline. Located in 330 Main Street, Dickson City, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,950

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: $5,950 (96%)

Ins. Median: $5,950 (96% 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	$854	14%
Geisinger	$854 - $12,724	14%
UnitedHealthcare	$892 - $22,573	14%
Highmark Wholecare/Gateway	$986	16%
Aetna	$1,009 - $31,128	16%
Jefferson Health Partners	$1,048 - $5,893	17%
Pa Health & Wellness	$1,048	17%
Upmc	$1,277 - $27,334	21%
Highmark Blue Shield	$5,725 - $23,848	93%
Amerihealth	$5,781	94%
Cigna	$5,781	94%
Devoted Health	$5,950	96%
Humana	$5,950	96%
Emblem	$6,062 - $25,033	98%
Pa Health & Wellness (Allwell)	$6,174	100%
Gateway	$6,243	101%
Ambetter / Centene	$17,024	276%
Valley Preferred	$32,731	530%

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 Lehigh Valley Hospital - Dickson City 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.