How much does Medicare pay for CPT 47562?

Medicare allowed an average of $607.34 per service and paid $481.21 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2796.76, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 47562?

Removal of gallbladder using an endoscope. It was billed 37,541 times to 37,530 Medicare beneficiaries by 2,258 providers in 2024.

Does 47562 pay differently in an office than a hospital?

Yes. The allowed amount averaged $610.73 in an office setting and $607.33 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 47562 most?

General Surgery, with 30,839 services from 1,857 clinicians. Next are Physician Assistant, Ambulatory Surgical Center, Nurse Practitioner.

CPT 47562

Removal of gallbladder using an endoscope

$607.34Medicare-allowed amount per service, averaged across 37,541 services

Providers submitted

$2796.76

Asking price, not received

Medicare allowed

$607.34

The fee schedule figure

Medicare paid

$481.21

Balance is patient coinsurance

Providers submitted an average of $2796.76 for this code and Medicare allowed $607.34 — 4.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $481.21 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $610.73
Hospital / facility: $607.33

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 75 services were billed in an office setting and 37,466 in a facility.

Services: 37,541
Beneficiaries: 37,530
Providers billing it: 2,258
Total allowed: $22,800,151

What Medicare pays for CPT 47562

Across 37,541 services billed by 2,258 providers to 37,530 beneficiaries, Medicare allowed an average of $607.34 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 47562

Specialty	Services	Beneficiaries	Avg allowed	Providers
General Surgery	30,839	30,832	$617.62	1,857
Physician Assistant	3,468	3,464	$86.40	206
Ambulatory Surgical Center	982	982	$2556.79	54
Nurse Practitioner	863	863	$85.03	52
Surgical Oncology	387	387	$644.74	25
Colorectal Surgery (Proctology)	347	347	$620.84	22
Vascular Surgery	244	244	$623.62	15
Critical Care (Intensivists)	134	134	$630.59	10
General Practice	88	88	$561.53	5
Family Practice	49	49	$652.01	2
Thoracic Surgery	28	28	$648.43	2
Undefined Physician type	28	28	$608.33	2
Osteopathic Manipulative Medicine	17	17	$562.21	1
Plastic and Reconstructive Surgery	15	15	$731.07	1
Emergency Medicine	15	15	$588.10	1

47562 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	3,379	$562.81	$418.53	187
California	3,283	$670.23	$505.27	188
Texas	2,915	$646.47	$523.17	175
New Jersey	1,661	$612.86	$443.58	87
Pennsylvania	1,443	$553.46	$430.12	96
New York	1,364	$655.73	$447.29	86
Illinois	1,313	$659.26	$488.38	90
Missouri	1,281	$584.57	$477.82	70
Arizona	1,257	$670.93	$543.64	64
Tennessee	1,151	$634.80	$570.38	65
North Carolina	1,127	$493.84	$406.06	76
Maryland	1,082	$703.88	$544.41	58
Indiana	1,045	$571.07	$490.20	67
Georgia	1,016	$583.28	$469.24	65
Louisiana	987	$530.68	$431.94	55
Virginia	967	$664.32	$526.36	63
South Carolina	947	$542.50	$449.76	55
Massachusetts	930	$576.20	$437.47	59
Ohio	902	$707.07	$580.05	60
Oklahoma	845	$542.94	$446.20	51
Mississippi	806	$681.27	$590.34	41
Nebraska	733	$538.88	$458.74	35
Alabama	684	$577.23	$531.20	43
Michigan	683	$600.36	$452.63	45
Kentucky	682	$542.28	$439.67	41
Kansas	624	$635.92	$557.03	38
Arkansas	614	$609.96	$538.46	35
Iowa	479	$496.06	$428.89	30
Minnesota	403	$537.51	$438.62	29
Washington	368	$561.69	$443.64	25
Nevada	257	$541.40	$430.30	17
West Virginia	232	$513.74	$395.88	16
Delaware	218	$643.86	$501.83	13
Wisconsin	202	$574.89	$500.89	15
Connecticut	189	$591.59	$428.54	14
Colorado	185	$956.53	$765.37	14
New Mexico	167	$485.23	$369.96	10
South Dakota	155	$438.58	$366.66	10
Oregon	117	$621.31	$503.19	9
Idaho	113	$394.93	$329.62	9
Montana	102	$572.54	$448.47	7
North Dakota	95	$525.54	$438.45	7
Wyoming	92	$722.85	$566.53	6
Utah	86	$581.14	$463.49	6
District of Columbia	78	$467.99	$347.62	5
New Hampshire	68	$644.92	$499.69	5
Rhode Island	59	$658.60	$518.29	4
Vermont	44	$343.44	$271.85	4
Alaska	39	$1762.62	$1028.55	3
Maine	28	$604.22	$514.38	2
Hawaii	17	$604.14	$470.00	1
AP	14	$675.44	$514.76	1
AE	13	$660.05	$519.21	1

Related codes

47563Removal of gallbladder$643.74
47536Replacement of liver duct drainage tube$121.03

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.