CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,341
Cash Discount Price: $2,913
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Geisinger Jersey Shore Hospital is $2,341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,913. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.38x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$2,913

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,341

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: $2,913 (47%)

Insurance Median: $2,341 (38%)

Cash: $2,913 (47% of Medicare)

Ins. Median: $2,341 (38% 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
Medicaid / KanCare	$589	10%
Amerihealth	$648	10%
Geisinger Family Plan	$648	10%
Upmc For You	$692	11%
Health Partners	$707	11%
Upmc Chip	$737	12%
Blue Cross Blue Shield	$755 - $2,787	12%
Geisinger Health Plan	$940 - $2,306	15%
UnitedHealthcare	$2,086	34%
Cigna	$2,255	37%
Advantra	$2,334	38%
Aetna	$2,334 - $3,594	38%
American Progressive	$2,334	38%
Medicare (plans)	$2,334	38%
Christian Healthcare Ministries	$2,349	38%
Humana	$2,357	38%
Medical Development International	$3,289	53%
Integrated Health Plan	$3,524	57%
Prime Health Services	$3,524	57%
Multiplan	$3,758	61%
Ambetter / Centene	$5,601	91%
Prison Health Services	$6,931	112%

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 $2,913.
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 Geisinger Jersey Shore Hospital 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.