Gallbladder removal (laparoscopic)
Facility: Pratt Regional Medical Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $2,420
- Cash Discount Price: $1,694
- vs. Medicare Baseline: 0.39x 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 |
|---|---|---|
| Christian Health Aid | $363 - $8,453 | 6% |
| UnitedHealthcare | $403 - $11,496 | 7% |
| Health Partners Of Kansas | $411 - $9,580 | 7% |
| Aetna | $436 - $10,144 | 7% |
| Choicecare | $484 - $11,271 | 8% |
| Celtic Insurance Company | $5,348 | 87% |
| Healthy Blue | $5,508 | 89% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Pratt Regional Medical Center in Pratt, KS, the cash median price is $1,694, which is significantly lower than the facility's gross charge of $2,420. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $403 to $11,496, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. It is important to note that the facility's negotiated rate of $2,420 matches the median negotiated amount reported, but commercial rates can vary widely; for instance, Celtic Insurance Company and Healthy Blue have fixed negotiated rates of $5,348 and $5,508 respectively. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates do not guarantee the lowest possible cost, and asking for self-pay or prompt-pay discounts prior to check-in can result in immediate savings.
This procedure's pricing is evaluated against federal benchmarks to ensure transparency. The Medicare amount for this service is $6,176.47, and the facility's cash rate of $1,694 represents a substantial discount relative to this federal baseline, illustrating the potential for significant cost savings when paying directly. Although the data does not provide specific state or county average comparisons for this exact procedure, understanding that commercial negotiated rates often include administrative overhead of 20% to 40% helps clarify why insurance payments may differ from cash prices. To protect against billing errors, patients should request a detailed, itemized bill that breaks down every CPT code and unit cost, as