CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Kosciusko Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $910
  • Cash Discount Price: $350
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Kosciusko Community Hospital is $910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.15x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$350

Average discount available for prompt cash payment at this facility.

Insurance Median
$910

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)
Cash / Self-Pay: $350 (6%)
Insurance Median: $910 (15%)
Cash: $350 (6% of Medicare)
Ins. Median: $910 (15% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6,176.47 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amish Aid $79 - $15,927 1%
Self Pay $79 - $15,927 1%
Lutheran Preferred Network $119 - $60,674 2%
Physicians Health Plan $139 - $34,948 2%
Php Freedom Network $146 - $29,290 2%
UnitedHealthcare $147 - $39,893 2%
Encore $151 - $30,337 2%
Trma Inc $151 - $34,129 2%
Aetna $155 - $40,348 3%
Connecticut General Life Insurance Company $223 - $44,671 4%
Cigna $239 - $47,933 4%
First Health Network $284 - $56,882 5%
Prime Health Services $284 - $56,882 5%
Advantage Health $314 - $62,949 5%
Private Healthcare Systems $325 - $65,225 5%
Sagamore $333 - $71,292 5%
Encore Health Network $352 - $70,534 6%
Veterans Eval Services $378 - $588 6%
One Call Care Diagnostics Wc $571 9%
Caresource $3,239 - $4,211 52%
Blue Cross Blue Shield $4,211 - $26,286 68%
Humana $4,211 - $6,741 68%
Managed Health Services $4,211 68%
Medicaid / KanCare $4,211 68%
Mhs $4,211 - $6,741 68%
Medicare (plans) $6,741 109%
Iu Health $6,850 111%
Node Non Par Hospice Agree $6,850 111%
Node Va $6,850 111%
Node Devoted Health Mcr Adv $6,876 111%
In Dept Of Correction $7,124 115%
Node Pphp Mcr Adv $7,193 116%
Us Department Of Labor $8,563 139%
Lutheran Advanced Network $10,276 166%
Lutheran Preferred $10,276 - $13,701 166%
Align In Work Comp $10,961 177%
One Call Work Comp $10,961 177%
Tricare $11,531 187%
Department Of Veterans Affairs $12,138 197%
Encore Work Comp In $12,331 200%
Managed Health Services Exchange $13,701 222%
Workers Comp $13,701 222%
Encore Kba Epo $16,441 266%
Encore Kba Ppo $20,551 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals