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Pennsylvania

Cost of a Gallbladder Removal Surgery Visit
in Pennsylvania

Reviewed by Momentary Medical Group West PC

Pennsylvania's healthcare market operates at approximately 9% above national averages, with concentrated provider networks anchored in Philadelphia and Pittsburgh driving regional cost variations. Patients seeking Gallbladder Removal Surgery in Pennsylvania typically encounter negotiated rates ranging from $98 to $1,984, with a median cost of $709 based on transparency data from over 1,000 active providers statewide. The Commonwealth's robust network of specialists across major health systems like UPMC, Penn Medicine, and Geisinger offers patients substantial choice when browsing providers throughout Pennsylvania.

Average

$930

Median

$709

Lowest

$98

Highest

$1,984

Providers

1,021

National avg: $1,117Pennsylvania: $930

17% below national average

Compare Similar Procedures

How does gallbladder removal (laparoscopic) compare to related procedures in Pennsylvania?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$909$1,551$6,051916
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,379$6,0601,270
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$618$2,135984
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$366$623$2,410933
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$632$1,6691,389
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$975$3,201983
Septoplasty

Nasal septum repair

30520$434$719$2,160910
Tonsillectomy

Tonsillectomy, primary or secondary

42820$149$317$742968
Inguinal Hernia Repair

Inguinal hernia repair

49505$333$562$1,448914
Mastectomy

Partial or simple mastectomy

19301$250$705$2,642976
Carpal Tunnel Surgery

Open carpal tunnel release

64721$317$537$1,957914

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 47562Laparoscopic cholecystectomy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 47562 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 47562 (Laparoscopic cholecystectomy), as mandated by the CMS Price Transparency Rule.

What CPT 47562 covers: the provider's professional fee for gallbladder removal (laparoscopic). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Pennsylvania

These hospitals in Pennsylvania are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
96% would recommend286 patient surveys
5/5
94% would recommend120 patient surveys
5/5
94% would recommend272 patient surveys
5/5
92% would recommend240 patient surveys
5/5
92% would recommend348 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Gallbladder Removal Surgery Visit Costs Vary Across Pennsylvania

Pennsylvania's healthcare costs run approximately 9% above national averages, driven by concentrated urban markets in Philadelphia and Pittsburgh where major health systems command premium rates. The state's mix of dense metropolitan areas and expansive rural counties creates significant geographic disparities in both access and pricing for surgical specialists.

Urban vs. Rural Provider Availability

Philadelphia and Pittsburgh metropolitan areas house the majority of Pennsylvania's gallbladder surgeons, while rural counties often have limited or no local specialists requiring patient travel. This geographic imbalance allows urban providers to maintain higher rates due to demand concentration, while rural patients face additional costs for travel and lodging. The Allegheny Mountains region particularly struggles with surgeon shortages, forcing many patients toward Pittsburgh or Harrisburg for care.

Facility Type and Overhead Costs

Large health systems like UPMC, Penn Medicine, and Geisinger dominate Pennsylvania's surgical landscape and typically charge higher facility fees than independent surgery centers. These academic medical centers justify premium pricing through their teaching hospital status and advanced technology, but patients may find significant savings at community hospitals or ambulatory surgery centers. Hospital-owned practices increasingly acquire independent surgeons, often resulting in higher patient costs post-acquisition.

Insurance Market Competition in Pennsylvania

Highmark's dominance in western Pennsylvania and Independence Blue Cross's eastern market control create regional monopolies that can limit negotiating leverage for providers. UnitedHealthcare provides statewide competition but holds smaller market share, while Aetna and other national carriers maintain niche presence. This concentrated market structure allows insurers to heavily influence pricing through narrow network designs and aggressive rate negotiations.

Physician Supply and Demand in Pennsylvania

With over 1,000 providers performing gallbladder removal surgery statewide, Pennsylvania maintains adequate specialist supply in urban areas but faces shortages in rural regions. This geographic maldistribution creates pricing pressure in underserved areas where patients have limited choices, while urban markets offer more competitive rates. The state's aging population and increasing obesity rates continue to drive demand for gallbladder surgery, potentially tightening specialist availability over time.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Gallbladder Removal Surgery Costs in Pennsylvania

What is the average cost of a Gallbladder Removal Surgery visit in Pennsylvania without insurance?

Without insurance, gallbladder removal surgery in Pennsylvania ranges from $98 to $1,984 based on negotiated rate data, with a median cost of $709 for the surgical procedure alone. However, total costs including facility fees, anesthesia, and pre-operative testing typically range from $8,000 to $15,000 for uninsured patients. Many Pennsylvania providers offer cash-pay discounts of 20-40% for patients who pay upfront, potentially reducing costs to $5,000-$10,000 for the complete procedure.

Does Pennsylvania Medicaid cover Gallbladder Removal Surgery visits?

Yes, Pennsylvania's expanded Medicaid program covers medically necessary gallbladder removal surgery for eligible adults enrolled in the CHIP program. Coverage includes the surgeon fee, hospital facility costs, anesthesia, and related pre-operative testing when deemed medically appropriate. However, patients may face longer wait times due to limited surgeon participation in Medicaid, and prior authorization may be required for elective procedures.

How do I find an affordable Gallbladder Removal Surgery near me in Pennsylvania?

Compare costs between hospital-owned practices and independent ambulatory surgery centers, as the latter often charge 30-50% less for the same procedure. Ask about cash-pay discounts if you're uninsured, and consider community hospitals outside major metropolitan areas for potential savings. Pennsylvania's Federally Qualified Health Centers can provide referrals to affordable specialists and may offer sliding fee scales based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial consultations with general surgeons in Pennsylvania typically cost $300-$500 for comprehensive evaluations including history, examination, and treatment planning. Follow-up visits for established patients usually range from $150-$250, as they involve shorter appointments focused on wound healing, symptom resolution, or surgical planning. Most insurance plans cover both types of visits, though you'll pay your specialist copay or deductible depending on your plan structure.

Can I use an HSA or FSA to pay for a Gallbladder Removal Surgery visit in Pennsylvania?

Yes, both HSA and FSA funds can be used to pay for gallbladder removal surgery consultations and procedures as they qualify as eligible medical expenses under IRS guidelines. This includes surgeon fees, facility costs, anesthesia, and related diagnostic testing when medically necessary. Keep all receipts and documentation, as you may need to provide proof that the expenses were for qualified medical care rather than cosmetic purposes.

How does telemedicine affect the cost of seeing a Gallbladder Removal Surgery in Pennsylvania?

Telemedicine consultations with general surgeons in Pennsylvania typically cost $100-$200, significantly less than in-person visits, and are particularly useful for initial symptom evaluation or post-operative follow-ups. However, gallbladder surgery requires physical examination and hands-on assessment, so virtual visits serve mainly as preliminary consultations or post-surgical check-ins. Most Pennsylvania insurers cover telehealth visits at the same rate as in-person care, making them a cost-effective option for appropriate clinical scenarios.

Click a state to compare costs

Average Visit Cost

$358
$4,328

Office visit (CPT 47562)

Compare With Other States

RankStateAverage
1North Dakota
Range: $691$6,146
$4,328
2Minnesota
Range: $444$6,146
$4,246
3South Dakota
Range: $80$6,146
$2,400
4Wisconsin
Range: $73$4,635
$1,976
5Iowa
Range: $90$3,082
$1,533
6Massachusetts
Range: $476$2,717
$1,417
7Georgia
Range: $553$2,490
$1,395
8Wyoming
Range: $706$2,132
$1,317
9New Hampshire
Range: $634$1,921
$1,265
10Nebraska
Range: $796$1,526
$1,250
11Maine
Range: $746$1,286
$1,094
12North Carolina
Range: $488$1,839
$1,089
13Delaware
Range: $416$2,073
$1,087
14New Mexico
Range: $589$1,628
$1,084
15District of Columbia
Range: $511$1,619
$1,079
16Connecticut
Range: $416$1,820
$1,028
17Missouri
Range: $623$1,300
$1,017
18Michigan
Range: $430$1,565
$1,012
19Rhode Island
Range: $91$1,921
$1,006
20Illinois
Range: $85$1,984
$1,004
21New York
Range: $452$1,820
$970
22Utah
Range: $80$1,513
$967
23California
Range: $75$1,714
$961
24New Jersey
Range: $388$1,827
$960
25Vermont
Range: $492$1,597
$945
26Mississippi
Range: $518$1,655
$943
27Pennsylvania
Range: $98$1,984
$930
28South Carolina
Range: $483$1,594
$929
29Indiana
Range: $80$1,834
$914
30Alabama
Range: $450$1,450
$907
31Louisiana
Range: $473$1,416
$904
32Washington
Range: $80$1,815
$900
33Arkansas
Range: $416$1,328
$891
34Tennessee
Range: $531$1,300
$889
35Colorado
Range: $90$1,635
$888
36Oregon
Range: $80$1,770
$867
37Maryland
Range: $545$1,355
$845
38Kansas
Range: $623$1,104
$844
39Hawaii
Range: $80$1,507
$838
40Oklahoma
Range: $545$1,254
$825
41Kentucky
Range: $90$1,539
$822
42West Virginia
Range: $98$1,650
$818
43Nevada
Range: $536$1,081
$774
44Idaho
Range: $80$1,480
$766
45Arizona
Range: $557$1,115
$743
46Texas
Range: $90$1,300
$722
47Virginia
Range: $98$1,355
$713
48Ohio
Range: $85$1,185
$646
49Montana
Range: $80$1,124
$428
50Florida
Range: $35$1,191
$427
51Alaska
Range: $80$913
$358
Gallbladder Removal (Laparoscopic) in Other States