CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St. Catherine Hospital - Garden City

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $636
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St. Catherine Hospital - Garden City is $636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 401 East Spruce, Garden City, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$636

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%)
Insurance Median: $636 (10%)
Ins. Median: $636 (10% 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
Kansas Health $577 9%
UnitedHealthcare $577 - $636 9%
Humana $577 - $636 9%
Medicare (plans) $577 - $636 9%
Blue Cross Blue Shield $577 - $8,144 9%
Cigna $577 - $636 9%
Aetna $577 - $636 9%
Kaiser $577 - $636 9%
Devoted Health $636 10%
Innovage $636 10%

Consumer Guidance & Cost Commentary

For the gallbladder removal (laparoscopic) procedure at St. Catherine Hospital - Garden City, the negotiated rates range from $577 to $8,144 depending on the insurance carrier, with a median negotiated amount of $636. This facility is a voluntary non-profit church-owned acute care hospital located in Garden City, KS (ZIP 67846). While specific cash or median paid values were not reported for this service, patients should note that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees.

The facility's pricing is benchmarked against the Medicare rate of $6,176.47, which serves as a federal cost baseline for this procedure. Although the data indicates a 0.1% variance versus Medicare, the wide disparity in negotiated rates across payers—such as Blue Cross Blue Shield's range extending up to $8,144—highlights the importance of verifying your specific plan's allowed amount before scheduling. Under the No Surprises Act, patients are protected from balance billing for out-of-network providers at in-network facilities, but they should still request an itemized bill to ensure no unbundled codes or services not rendered are included. If you receive a summary bill, you should demand a detailed line-by-line statement to identify any errors or double-charges before making a payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Spruce, Garden City, KS 67846
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals