Gallbladder removal (laparoscopic)
Facility: Saint John Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $5,696
- Cash Discount Price: $5,695
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Comp Alliance Workers Comp | $1,312 | 21% |
| UnitedHealthcare | $1,869 - $7,974 | 30% |
| Medicaid / KanCare | $1,869 | 30% |
| Celtic | $1,907 - $9,113 | 31% |
| Healthy Blue | $1,907 - $5,980 | 31% |
| Blue Cross Blue Shield | $3,259 - $6,518 | 53% |
| Aetna | $4,489 - $5,696 | 73% |
| Midland Care Connection | $5,696 | 92% |
| Medicare (plans) | $5,696 | 92% |
| Cigna | $5,696 | 92% |
| Tricare | $5,696 | 92% |
| Kansas Superior Select | $5,809 | 94% |
| Well Path | $7,974 | 129% |
| Corizon | $7,974 | 129% |
| Employer Direct Healthcare | $7,974 | 129% |
| Centurion | $8,543 | 138% |
| Oha Networks | $8,708 | 141% |
| Naphcare | $8,828 | 143% |
| Worker Compensation | $8,977 | 145% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Saint John Hospital in Leavenworth, KS, the cash price of $5,695 is significantly lower than the negotiated rates charged by most insurance payers, which range from $1,869 to $9,113 depending on the plan. While the facility's cash rate is competitive, it is important to note that many commercial payers, including UnitedHealthcare and Celtic, have negotiated rates that exceed the cash price. This dynamic can be advantageous for patients with high-deductible plans who have not yet met their out-of-pocket limits, as paying the cash price directly may result in immediate savings compared to the higher amounts their insurance would allow. Patients should verify their specific plan's deductible status and ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if settled upfront.
The facility's pricing is benchmarked against the Medicare rate of $6,176.47, which serves as a scientifically validated baseline for the true cost of care. The cash price of $5,695 is slightly below the Medicare amount, indicating a rate that is already competitive with federal standards. However, commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the final cost for insured patients. To ensure transparency and avoid unexpected charges, patients should request a full itemized bill that breaks down every CPT code and service rendered, rather than accepting a summary invoice. If any discrepancies are found, such as unbundled charges or services not received, a formal written dispute should be sent to the billing supervisor to correct errors before payment is made.