47562

Removal of gallbladder using an endoscope

Medicare pricing data for 17,142 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $451 in South Dakota to $1,011 in Alaska. Where you get this procedure matters more than almost any other factor. 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

Removal of gallbladder using an endoscope (HCPCS code 47562) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $606.33, but hospitals typically charge $2,827 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$121.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $606.33, your out-of-pocket cost would be approximately $121.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$606.33
Average Hospital Charge
$2,827
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,827.08
Medicare Allowed$606.33
Medicare Payment$480.53

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $480.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,011$8,71350196+66.7%
California$685$3,0401,4267,661+13.0%
Maryland$677$2,6413252,107+11.7%
Puerto Rico$664$8863860+9.5%
Illinois$649$2,9985923,162+7.1%
Virginia$647$1,9583862,128+6.7%
Texas$647$3,1661,0635,801+6.7%
Tennessee$646$2,3483702,425+6.5%
Mississippi$644$2,4921451,364+6.2%
Hawaii$643$1,70544143+6.0%
Indiana$637$3,0843902,235+5.1%
Arizona$634$2,4223342,152+4.6%
Delaware$634$1,98084390+4.6%
Ohio$632$2,2716512,936+4.2%
Michigan$621$1,9535862,590+2.4%
Colorado$616$2,5673441,198+1.6%
Arkansas$616$1,7741441,024+1.5%
Oregon$615$2,337264943+1.5%
Florida$615$2,5661,0556,113+1.4%
New Mexico$611$2,450110510+0.8%
Louisiana$603$2,3572621,767-0.5%
Wyoming$601$2,95344248-0.9%
Oklahoma$600$1,7721631,241-1.1%
Kansas$600$2,474171998-1.1%
Nevada$599$2,730134651-1.3%
District of Columbia$594$1,86647193-2.1%
Missouri$591$2,5383632,317-2.5%
Washington$588$2,3234001,583-3.1%
Alabama$586$2,0772621,553-3.3%
Nebraska$586$2,3851431,050-3.4%
New Jersey$586$8,4214252,824-3.4%
Massachusetts$582$2,3284182,128-3.9%
New York$580$3,9511,1024,742-4.3%
South Carolina$578$2,9382531,670-4.7%
Georgia$575$2,4644512,517-5.2%
Kentucky$571$1,8022611,612-5.9%
Utah$569$1,963146593-6.1%
Montana$567$2,05879419-6.5%
Iowa$552$2,190177935-9.0%
North Carolina$551$2,2726273,245-9.1%
Rhode Island$544$1,89567316-10.2%
Pennsylvania$544$2,1348764,206-10.3%
Minnesota$542$2,8834011,634-10.6%
North Dakota$536$2,14677422-11.7%
Wisconsin$529$5,7254221,471-12.8%
Connecticut$528$2,5742821,061-13.0%
New Hampshire$502$2,921128517-17.1%
West Virginia$492$1,875131670-18.9%
Maine$491$1,511107361-19.0%
Vermont$462$2,25941185-23.9%
Idaho$461$1,919119452-23.9%
South Dakota$451$1,44981409-25.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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