Gallbladder removal (laparoscopic)
Facility: Providence Medical Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $5,980
- Cash Discount Price: $5,695
- vs. Medicare Baseline: 0.97x 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 |
|---|---|---|
| Aetna | $580 - $5,696 | 9% |
| Comp Alliance - Fka Compresults Worker Compensation | $1,312 | 21% |
| Medicaid / KanCare | $1,869 | 30% |
| UnitedHealthcare | $1,869 - $9,870 | 30% |
| Celtic | $1,907 - $9,113 | 31% |
| Healthy Blue | $1,907 - $5,980 | 31% |
| Midland Care Connection | $5,696 | 92% |
| Tricare | $5,696 | 92% |
| Cigna | $5,696 | 92% |
| Medicare (plans) | $5,696 | 92% |
| Kansas Superior Select | $5,980 | 97% |
| Corizon | $7,404 | 120% |
| Employer Direct Healthcare | $7,974 | 129% |
| Well Path Prison | $7,974 | 129% |
| Centurion | $8,543 | 138% |
| Oha Networks | $8,708 | 141% |
| Naphcare | $8,828 | 143% |
| Worker Compensation | $8,977 | 145% |
| Blue Cross Blue Shield | $9,113 - $10,132 | 148% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Providence Medical Center in Kansas City, KS, the facility's cash median rate of $5,695 is significantly lower than the negotiated rates charged by most insurance payers, which range from $1,312 to $10,132 depending on the plan. While the facility's cash price is higher than the state average of $5,695, it remains a substantial discount compared to the gross charges of $10,132. Patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as many commercial negotiated rates exceed the cash amount due to administrative overhead and contract structures. It is important to note that while the facility is a voluntary non-profit church-owned acute care hospital, the negotiated rates for in-network plans often reflect a markup well above the Medicare benchmark of $6,176.47, which serves as the objective baseline for fair pricing.
To minimize out-of-pocket costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all ancillary services, such as laboratory tests or anesthesia, are also covered under the facility's network agreements to avoid unexpected secondary charges. Furthermore, patients should request a detailed, itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as double