Gallbladder removal (laparoscopic)
Facility: Overland Park Reg Med Ctr
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $5,222
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Blue Cross Blue Shield | $276 - $3,530 | 4% |
| United | $1,869 - $12,989 | 30% |
| Amerigroup | $1,869 | 30% |
| Healthyblue | $1,907 | 31% |
| Medicaid / KanCare | $1,925 | 31% |
| Unicare | $1,944 | 31% |
| Aetna | $1,944 - $14,670 | 31% |
| Universal Healthcare | $4,250 | 69% |
| Nhc Advantage | $4,950 | 80% |
| Home State Health Plan | $5,222 | 85% |
| Multiplan | $7,181 - $8,752 | 116% |
| Corvel Corporation | $8,528 | 138% |
| Oha Network | $8,887 | 144% |
| Ambetter / Centene | $9,492 | 154% |
| Cigna | $11,854 - $17,672 | 192% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Overland Park Reg Med Ctr, the facility's negotiated rates vary significantly across payers, ranging from $186.90 for Amerigroup to $17,672 for Cigna. While the median negotiated rate across all payers is $5,222, this figure is notably higher than the Medicare benchmark of $6,176.47, indicating that the commercial rates in this dataset are generally lower than the federal government's cost-based baseline for this service. It is important to note that cash-pay options are not listed for this specific code, meaning patients without insurance coverage would not be able to utilize potential self-pay discounts. Additionally, while the facility holds a 4-star rating, the wide disparity in payer rates highlights that "in-network" status does not guarantee a uniform price, as some plans like Aetna and Cigna have negotiated ceilings that far exceed the facility's median negotiated amount.
Patients should be aware that commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, which is why comparing rates directly to the Medicare benchmark provides a more accurate view of the facility's pricing structure than looking at the hospital's chargemaster list. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is crucial to verify your specific plan's deductible status before scheduling, as high negotiated rates may still be subject to your out-of-pocket maximum if you have not yet met your annual threshold. To minimize costs, we recommend requesting a formal itemized billing audit to identify any unbundled codes or services not rendered, and