CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,356
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lehigh Valley Hospital - Macungie is $6,356. 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 1.03x the Medicare baseline. Located in 3369 State Route 100, Macungie, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,356

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: $6,356 (103%)
Ins. Median: $6,356 (103% 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
Geisinger $970 - $26,108 16%
Highmark Wholecare/Gateway $986 16%
Jefferson Health Partners $1,048 - $11,880 17%
Pa Health & Wellness $1,048 17%
Aetna $1,125 - $29,653 18%
Amerihealth Caritas $1,125 18%
Upmc $1,277 - $28,928 21%
Blue Cross Blue Shield $5,940 96%
Highmark Blue Shield $5,999 - $15,970 97%
Humana $5,999 97%
Amerihealth $6,118 99%
Cigna $6,118 99%
Gateway $6,356 103%
Emblem $6,415 - $26,493 104%
Pa Health & Wellness (Allwell) $6,534 106%
Ambetter / Centene $18,016 292%
Valley Preferred $34,640 561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals