How much does Medicare pay for CPT 47563?

Medicare allowed an average of $643.74 per service and paid $510.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2535.81, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 47563?

Removal of gallbladder with x-ray study of bile ducts using an endoscope. It was billed 12,815 times to 12,812 Medicare beneficiaries by 785 providers in 2024.

Which specialty bills 47563 most?

General Surgery, with 10,884 services from 661 clinicians. Next are Physician Assistant, Ambulatory Surgical Center, Nurse Practitioner.

CPT 47563

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

$643.74Medicare-allowed amount per service, averaged across 12,815 services

Providers submitted

$2535.81

Asking price, not received

Medicare allowed

$643.74

The fee schedule figure

Medicare paid

$510.26

Balance is patient coinsurance

Providers submitted an average of $2535.81 for this code and Medicare allowed $643.74 — 3.9× 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 $510.26 (79%); the rest is the patient’s coinsurance and deductible.

Services: 12,815
Beneficiaries: 12,812
Providers billing it: 785
Total allowed: $8,249,528

What Medicare pays for CPT 47563

Across 12,815 services billed by 785 providers to 12,812 beneficiaries, Medicare allowed an average of $643.74 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 47563

Specialty	Services	Beneficiaries	Avg allowed	Providers
General Surgery	10,884	10,881	$669.41	661
Physician Assistant	1,141	1,141	$93.95	74
Ambulatory Surgical Center	245	245	$2518.42	14
Nurse Practitioner	227	227	$92.48	15
General Practice	99	99	$693.55	6
Surgical Oncology	96	96	$691.46	6
Vascular Surgery	64	64	$658.71	4
Thoracic Surgery	23	23	$691.92	2
Colorectal Surgery (Proctology)	12	12	$707.47	1
Interventional Radiology	12	12	$690.03	1
Emergency Medicine	12	12	$710.74	1

47563 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	1,453	$680.06	$504.30	82
Texas	1,044	$709.90	$570.11	62
California	1,017	$621.77	$482.62	58
Arkansas	632	$709.56	$633.36	33
Oklahoma	528	$637.40	$512.63	29
Illinois	527	$670.11	$494.47	33
Arizona	499	$680.24	$558.83	27
Mississippi	438	$702.21	$618.85	28
New York	418	$642.85	$445.79	28
Kentucky	401	$614.92	$508.31	22
Georgia	374	$614.32	$478.20	26
Kansas	360	$550.34	$476.42	23
Tennessee	351	$534.81	$471.56	23
Missouri	349	$620.30	$515.76	21
South Carolina	317	$605.41	$499.46	20
Ohio	313	$658.94	$532.22	20
Indiana	301	$631.93	$548.29	20
North Carolina	299	$576.14	$488.66	20
Pennsylvania	279	$687.05	$547.25	15
New Jersey	262	$670.75	$479.31	16
Alabama	255	$535.62	$464.53	18
Nebraska	220	$419.94	$375.60	15
Virginia	209	$686.60	$552.86	14
Iowa	208	$962.12	$851.59	12
Washington	180	$622.43	$481.79	12
Massachusetts	173	$658.75	$502.74	10
Idaho	147	$529.26	$452.18	10
Utah	139	$503.88	$403.39	10
Louisiana	129	$667.64	$550.93	8
Nevada	104	$613.91	$487.84	8
Colorado	99	$695.44	$551.38	7
Maryland	99	$581.65	$440.13	6
South Dakota	97	$402.75	$332.95	7
West Virginia	97	$671.97	$535.86	7
Wisconsin	93	$563.23	$483.64	7
Oregon	85	$378.52	$311.22	6
Montana	46	$671.57	$540.15	3
Michigan	43	$594.54	$404.72	3
New Mexico	41	$303.10	$214.84	2
Delaware	35	$497.14	$370.55	3
District of Columbia	33	$796.32	$563.60	2
Connecticut	29	$444.40	$334.47	2
Alaska	24	$2285.84	$1285.86	2
New Hampshire	16	$673.16	$514.30	1
Maine	14	$699.79	$564.35	1
Hawaii	14	$103.64	$38.33	1
Minnesota	13	$687.37	$561.46	1
Wyoming	11	$399.39	$339.76	1

Related codes

47562Removal of gallbladder$607.34
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.