CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Wesley Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,528
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Wesley Medical Center is $8,528. 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 1.38x the Medicare baseline. Located in 550 N Hillside Street, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,528

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: $8,528 (138%)
Ins. Median: $8,528 (138% 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
UnitedHealthcare $1,869 30%
Medicaid / KanCare $1,925 31%
Aetna $1,944 - $9,889 31%
Amerigroup $1,944 31%
Wppa $7,100 - $10,143 115%
Ambetter / Centene $7,305 118%
First Health $8,528 138%
Multiplan $8,887 144%
United $9,507 154%
Blue Cross Blue Shield $15,570 252%

Consumer Guidance & Cost Commentary

For the gallbladder removal (laparoscopic) procedure at Wesley Medical Center in Wichita, KS, the facility's negotiated rates vary significantly by insurer, ranging from $1,869 for UnitedHealthcare and Medicaid/KanCare to $15,570 for Blue Cross Blue Shield. While the median negotiated rate across all payers is $8,528, the cash price is not listed in the current data. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, though this facility does not currently publish a specific cash median. Patients should verify their specific plan's allowed amount and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront.

To ensure you are receiving fair pricing, it is recommended to compare these rates against the Medicare benchmark of $6,176.47, which serves as the objective baseline for healthcare costs. Commercial negotiated rates often exceed this benchmark due to administrative overhead and contract dynamics, with some payers in this report showing rates well above the Medicare amount. If you receive a bill that appears higher than expected, request a detailed itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Additionally, be aware of federal protections under the No Surprises Act, which may prevent balance billing for out-of-network services at in-network facilities, and never sign away your rights to dispute potential surprise charges without fully understanding the terms.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 N Hillside Street, Wichita, KS 67214
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals