CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,122
about 0.5× the $6,176 Medicare rate · typically $1,733–$5,832
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,902
Well above the fair price
about $2,780 over the fair price · 1.0× Medicare
Medicare pays $6,176 Fair price $3,122 This hospital $5,902

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $855 Priciest $5,902

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $3,122 (about 0.5× the $6,176 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $5,902 — well above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,122. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,081 50%
Blue Cross Blue Shieldmajor $5,082 - $6,985 82%
Aetnamajor $682 - $6,119 11%
Cignamajor $6,007 97%
AmeriHealth $6,007 97%
UPMC Health Plan $5,150 - $6,390 83%
+ 1 smaller / regional plan $2,976 - $5,562

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens