47563

Removal of gallbladder with x-ray study of bile ducts using an endoscope

Medicare pricing data for 9,560 providers across 51 states

🤖AI Overview

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 with x-ray study of bile ducts using an endoscope (HCPCS code 47563) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $627.60, but hospitals typically charge $2,685 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$125.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $627.60, your out-of-pocket cost would be approximately $125.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$627.60
Average Hospital Charge
$2,685
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,684.87
Medicare Allowed$627.60
Medicare Payment$497.81

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $497.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$872$8,33237133+39.0%
Iowa$717$2,412118424+14.2%
California$711$2,6456212,447+13.3%
Texas$707$3,0347353,280+12.6%
Mississippi$699$2,725119756+11.4%
Virginia$695$1,8982531,171+10.7%
Alabama$685$2,337161834+9.2%
District of Columbia$683$2,21823108+8.8%
Illinois$682$3,4804061,968+8.6%
Arizona$659$2,631200983+4.9%
Louisiana$646$2,29486340+2.9%
Nevada$645$2,05055293+2.8%
Arkansas$640$1,961110896+2.0%
Kentucky$638$1,841149827+1.6%
Hawaii$636$2,0292559+1.4%
Georgia$635$2,4862811,246+1.2%
Ohio$635$2,2163981,423+1.2%
Florida$630$2,4166443,675+0.4%
Massachusetts$626$2,506200618-0.3%
Washington$624$2,1312861,109-0.5%
South Carolina$617$3,282180946-1.7%
Michigan$611$1,928179459-2.7%
Missouri$609$2,5872131,040-3.0%
Maryland$609$1,738110388-3.0%
Tennessee$604$2,213199850-3.8%
Kansas$604$2,291143809-3.8%
Connecticut$602$2,54982163-4.1%
New York$601$3,9794461,460-4.3%
Pennsylvania$601$2,2803461,178-4.3%
Indiana$598$2,7002601,058-4.7%
Colorado$598$2,252234697-4.8%
New Jersey$595$7,718175701-5.2%
Oklahoma$586$1,622139948-6.7%
Wyoming$584$3,3392379-7.0%
North Carolina$578$2,2463581,168-7.9%
Montana$575$1,85058281-8.4%
New Hampshire$566$4,53875219-9.7%
Oregon$561$1,958203646-10.6%
Wisconsin$555$6,307283877-11.5%
Utah$554$1,775115575-11.7%
North Dakota$551$2,1362986-12.1%
West Virginia$541$1,89463247-13.9%
Rhode Island$532$1,9082941-15.2%
New Mexico$531$2,38671281-15.4%
Minnesota$516$2,828186482-17.7%
Vermont$516$2,2952357-17.9%
Idaho$491$1,631100572-21.7%
Maine$473$1,52064136-24.7%
Nebraska$464$1,82287505-26.0%
South Dakota$460$1,76268353-26.8%
Delaware$455$1,06830218-27.5%

⚠️ 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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