CPT 47562: Laparoscopic Cholecystectomy (Gallbladder Removal)
Medicare pays $638 and commercial payers pay $3510 on average nationally for this procedure.
CPT code 47562 describes a laparoscopic cholecystectomy, where the provider removes the gallbladder using a laparoscope (a lighted camera inserted through the abdominal wall) to treat gallbladder disease; this is a surgical service typically performed in an ambulatory surgery center or hospital operating room under general anesthesia and involves minimal-incision, camera-guided gallbladder removal for conditions such as gallstones or cholecystitis.
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National Reimbursement Benchmarks
National comparison shows a clear premium gap: Blue Cross Blue Shield and BUCA (average commercial) have substantially higher mean rates than Medicare, with BUCA’s mean at $3,510 versus Medicare’s mean at $638.10 — BUCA’s average commercial reimbursement is roughly 5.5 times the Medicare mean, highlighting material differences between commercial aggregator pricing and the Medicare baseline.
Dispersion analysis (P75 minus P25) highlights variation across payers: Blue Cross Blue Shield’s interquartile spread is $4,569.10 (wideest), followed by UnitedHealth Group at $700.00, BUCA at $2,927.60, Cigna at $705.50, Aetna at $765.20, and Medicare showing the tightest spread at $53.00. These spreads indicate Blue Cross Blue Shield has the greatest rate dispersion while Medicare is the most compressed.