Laparoscopic Cholecystectomy Cost in Massachusetts
Laparoscopic cholecystectomy
$6,808Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Massachusetts Medicare physician rate (2026)
+3.3% vs nationalAverage of 2 localities. Office range $629.99–$675.25.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $3,146 on the Medicare allowed amount for laparoscopic cholecystectomy. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Massachusetts
Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
What laparoscopic cholecystectomy costs at hospitals near you
Everything above is a national average. The hospital you pick in Massachusetts moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
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What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Massachusetts
Where Massachusetts ranks for this CPT
CPT 47562 by Massachusetts locality
| Locality | Office |
|---|---|
| metropolitan boston | $675.25 |
| rest of massachusetts | $629.99 |
PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.
Laparoscopic Cholecystectomy and how Massachusetts is priced
Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.
Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.
This procedure: Laparoscopic cholecystectomy removes the gallbladder through four small abdominal incisions using a camera and long instruments, most often for painful gallstones or gallbladder inflammation. It is one of the most frequently performed general surgeries in the country. Under general anesthesia the operation takes about an hour, and most planned cases go home the same day, returning to normal activity within one to two weeks.
What Is Laparoscopic Cholecystectomy?
Laparoscopic cholecystectomy removes the gallbladder through four small abdominal incisions using a camera and long instruments, most often for painful gallstones or gallbladder inflammation. It is one of the most frequently performed general surgeries in the country. Under general anesthesia the operation takes about an hour, and most planned cases go home the same day, returning to normal activity within one to two weeks.
What Affects the Cost
- –Whether the surgery is planned and outpatient or done urgently during a hospital admission for a gallbladder attack changes the total dramatically.
- –An intraoperative cholangiogram, an X-ray of the bile ducts during surgery, adds imaging and radiology charges when performed.
- –Conversion from laparoscopic to open surgery, needed in a small percentage of difficult cases, changes the code, extends recovery, and usually means a hospital stay.
- –The gallbladder is routinely sent to pathology after removal, adding a lab fee.
- –Anesthesia bills separately by time, and pre-operative labs and imaging carry their own charges.
- –Ambulatory surgery centers, where available for this operation, undercut hospital outpatient pricing.
Questions to Ask Before Booking
- 1.Can my surgery be done as a scheduled outpatient case, and at which facility is it cheapest?
- 2.Do you routinely perform a cholangiogram, and what does it add to the bill?
- 3.What happens to the cost if you need to convert to open surgery?
- 4.Are the anesthesia group and the pathology lab in my network?
- 5.Has prior authorization been approved for both the procedure and the facility?
Other featured procedures in Massachusetts
Laparoscopic Cholecystectomy in other states
Laparoscopic Cholecystectomy in Massachusetts: questions
The 2026 Medicare physician office rate for CPT 47562 averages $652.62 across 2 Massachusetts localities, from $629.99 in REST OF MASSACHUSETTS to $675.25 in METROPOLITAN BOSTON. The hospital physician rate averages $652.62. Enter a ZIP for the exact locality.
Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $45.26 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $131 for the office physician line or $131 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.
No. $652.62 is only the physician's share. Adding Medicare's facility payment brings the total to about $6,808 in a hospital outpatient department, or about $3,663 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Massachusetts ranks #43 of 51 states on the physician line (3% above the national office rate of $631.95).