Insertion of tube into gallbladder using imaging guidance with review by radiologist
Medicare pricing data for 4,359 providers across 51 states
This procedure has a 5.2x markup — hospitals charge $1,726 but Medicare allows only $331.25. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Insertion of tube into gallbladder using imaging guidance with review by radiologist (HCPCS code 47490) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $331.25, but hospitals typically charge $1,726 — a 5.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $331.25, your out-of-pocket cost would be approximately $66.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $262.74 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $406 | $2,706 | 8 | 17 | +22.5% |
| District of Columbia | $359 | $1,415 | 21 | 80 | +8.5% |
| New York | $359 | $1,887 | 271 | 859 | +8.4% |
| New Jersey | $357 | $1,814 | 134 | 442 | +7.9% |
| California | $354 | $1,690 | 417 | 1,048 | +6.9% |
| Massachusetts | $349 | $1,468 | 132 | 362 | +5.4% |
| Maryland | $348 | $1,274 | 77 | 282 | +5.1% |
| Connecticut | $347 | $1,599 | 70 | 205 | +4.7% |
| Hawaii | $346 | $1,012 | 11 | 31 | +4.3% |
| Rhode Island | $340 | $1,409 | 23 | 57 | +2.6% |
| Washington | $339 | $1,289 | 96 | 271 | +2.4% |
| Colorado | $338 | $1,651 | 73 | 151 | +2.2% |
| Illinois | $337 | $1,860 | 179 | 607 | +1.8% |
| Vermont | $335 | $2,178 | 11 | 27 | +1.0% |
| Pennsylvania | $333 | $1,522 | 233 | 783 | +0.4% |
| Montana | $333 | $1,355 | 12 | 15 | +0.4% |
| Delaware | $333 | $985 | 19 | 82 | +0.4% |
| Florida | $332 | $2,122 | 310 | 799 | +0.2% |
| Virginia | $329 | $1,526 | 131 | 372 | -0.7% |
| Oregon | $328 | $1,181 | 55 | 139 | -1.0% |
| New Mexico | $325 | $1,809 | 21 | 66 | -1.9% |
| Nevada | $325 | $2,190 | 40 | 86 | -2.0% |
| Michigan | $324 | $1,199 | 130 | 366 | -2.1% |
| New Hampshire | $324 | $2,158 | 27 | 79 | -2.1% |
| Minnesota | $323 | $1,569 | 71 | 173 | -2.4% |
| Texas | $322 | $2,046 | 296 | 765 | -2.8% |
| Wyoming | $321 | $1,523 | 8 | 13 | -3.0% |
| South Dakota | $321 | $1,369 | 11 | 44 | -3.2% |
| North Dakota | $319 | $1,612 | 11 | 31 | -3.7% |
| Georgia | $317 | $1,681 | 122 | 239 | -4.2% |
| Missouri | $317 | $1,595 | 99 | 253 | -4.3% |
| Maine | $316 | $1,274 | 22 | 35 | -4.6% |
| North Carolina | $316 | $1,922 | 146 | 384 | -4.6% |
| Ohio | $316 | $1,909 | 174 | 409 | -4.7% |
| Louisiana | $315 | $1,590 | 51 | 129 | -4.8% |
| Wisconsin | $314 | $3,172 | 106 | 260 | -5.2% |
| Arizona | $314 | $2,622 | 78 | 177 | -5.3% |
| Kentucky | $313 | $1,366 | 56 | 132 | -5.6% |
| South Carolina | $313 | $1,701 | 68 | 168 | -5.7% |
| Kansas | $309 | $1,071 | 41 | 93 | -6.6% |
| Alabama | $309 | $1,057 | 59 | 112 | -6.7% |
| Utah | $308 | $1,345 | 27 | 52 | -6.9% |
| Idaho | $307 | $1,532 | 26 | 67 | -7.3% |
| Iowa | $307 | $1,366 | 38 | 105 | -7.4% |
| Nebraska | $306 | $1,502 | 27 | 121 | -7.5% |
| Oklahoma | $306 | $1,176 | 44 | 111 | -7.6% |
| Indiana | $304 | $1,475 | 86 | 220 | -8.2% |
| Tennessee | $303 | $1,744 | 93 | 240 | -8.4% |
| Mississippi | $300 | $1,145 | 40 | 99 | -9.3% |
| Arkansas | $298 | $2,040 | 30 | 104 | -9.9% |
| West Virginia | $298 | $1,498 | 23 | 59 | -10.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber