Gallbladder removal (laparoscopic)
Facility: Centura St. Catherine-Dodge City
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $589
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.10x 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 |
|---|---|---|
| Cigna | $589 | 10% |
| Medicare (plans) | $589 | 10% |
| Blue Cross Blue Shield | $589 | 10% |
| Humana | $589 | 10% |
| Kansas Health | $589 | 10% |
| Kaiser | $589 | 10% |
| Aetna | $589 | 10% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's negotiated rates are consistently $589 across seven payers, including Medicare, Cigna, and Blue Cross Blue Shield. This negotiated amount is significantly lower than the Medicare benchmark of $6,176.47, which serves as the federal baseline for the true cost of care. While commercial insurance contracts often include administrative overhead that can inflate prices by 20% to 40% compared to cash prices, this facility's uniform rate suggests a streamlined pricing structure. Patients should note that while in-network status protects against balance billing under the No Surprises Act, the final out-of-pocket cost depends entirely on whether their specific plan has met its deductible.
Because the facility's negotiated rate of $589 is well below the typical commercial markup seen in many markets, patients with high-deductible plans may find that paying cash upfront could result in a lower total cost if their insurance would otherwise require them to pay the full negotiated amount before coverage kicks in. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer an additional 20% to 50% reduction for upfront payment. Before scheduling, verify your deductible status and request a waiver of insurance submission to ensure you are not inadvertently triggering automatic claims that void any potential cash savings.