Gallbladder removal (laparoscopic)
Facility: Susan B Allen Memorial Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $554
- Cash Discount Price: $3,948
- vs. Medicare Baseline: 0.09x 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 |
|---|---|---|
| UnitedHealthcare | $350 | 6% |
| Providrs Care | $757 | 12% |
Consumer Guidance & Cost Commentary
For a gallbladder removal (laparoscopic) at Susan B Allen Memorial Hospital in El Dorado, KS, the cash median price is $3,948.00, which is lower than the facility's gross charge of $6,074.00. While the hospital's negotiated rates with UnitedHealthcare ($350) and Providrs Care ($757) are significantly lower than the cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount exceeds the cash rate. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices due to multi-layered contract dynamics; therefore, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are receiving the most favorable rate available.
This procedure's pricing is evaluated against the Medicare benchmark of $6,176.47, which serves as the objective baseline for fair pricing. The facility's cash rate of $3,948.00 represents a 36% reduction compared to the Medicare amount, aligning with the typical range where fair pricing is defined as 120% to 150% of Medicare. If you receive a bill from this facility, you should request a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you encounter a balance bill for out-of-network services, you have the right to dispute the charge under the No Surprises Act, which bans balance billing for emergency care and non-emergency services provided