Gallbladder removal (laparoscopic)
Facility: Mcpherson Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,737
- Cash Discount Price: $1,285
- vs. Medicare Baseline: 0.28x 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 |
|---|---|---|
| Wppa - All Plans | $1,216 | 20% |
| Central Plains - All Plans | $1,303 | 21% |
| Medical Associates - All Plans | $1,303 | 21% |
| UnitedHealthcare | $1,355 - $5,560 | 22% |
| Christian Health Aid - All Plans | $1,390 | 23% |
| Aetna | $1,433 - $1,737 | 23% |
| Multiplan - All Plans | $1,563 | 25% |
| Health Partners - All Plans | $1,650 | 27% |
| First Health - All Plans | $1,650 | 27% |
| Cigna | $1,650 | 27% |
| Medicaid / KanCare | $1,737 | 28% |
| Health Blue Mcaid - All Other Plans | $1,772 | 29% |
| Tricare | $4,893 | 79% |
| Blue Cross Blue Shield | $5,560 | 90% |
| Wellcare Mcr Adv - All Plans | $5,560 | 90% |
| Healthy Blue Mcr Adv | $5,560 | 90% |
| Va Ccn - All Plans | $5,560 | 90% |
| Humana | $5,560 | 90% |
| Ambetter / Centene | $6,394 | 104% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at McPherson Hospital in McPherson, Kansas, the facility's cash median price is $1,285, while the median negotiated rate across all payers is $1,737. This data reflects the typical pricing structure where commercial insurance contracts often result in higher out-of-pocket costs for patients compared to self-pay options, particularly if their deductible has not been met. The facility's cash rate is notably lower than the gross chargemaster of $1,737, and patients should be aware that paying in full upfront may yield a prompt-pay discount, potentially reducing the final bill by 20% to 50%. It is advisable to contact the hospital directly to confirm self-pay or prompt-pay rates before scheduling, as these discounts are often not automatically applied when insurance is involved.
When evaluating the cost against national standards, the Medicare benchmark for this service is $6,176.47, which serves as the objective baseline for fair pricing. The facility's cash rate of $1,285 represents a significant reduction relative to the Medicare amount, whereas the median negotiated rate of $1,737 remains below the Medicare benchmark but higher than the cash option. While the data does not provide specific state or county average comparisons for this exact procedure, the substantial difference between the cash price and the negotiated rates highlights the importance of understanding one's coverage status. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they can afford the upfront cost, as the insurance negotiated rate often exceeds the cash price. Always request an itemized bill to ensure no errors exist, as over