CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Menorah Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,222
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Menorah Medical Center is $5,222. 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 0.85x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,222

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: $5,222 (85%)
Ins. Median: $5,222 (85% 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
Blue Cross Blue Shield $261 - $3,379 4%
United $1,869 - $13,689 30%
Amerigroup $1,869 30%
Healthyblue $1,907 31%
Medicaid / KanCare $1,925 31%
Aetna $1,944 - $14,670 31%
Unicare $1,944 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 Menorah Medical Center in Overland Park, KS, the negotiated rates for in-network insurance plans range from $261 to $17,672, with a median negotiated amount of $5,222. This facility is a proprietary acute care hospital located in the 66209 zip code. While specific cash and median paid values are not currently listed for this service, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs, particularly for those with high-deductible plans where the insurance negotiated rate might exceed the cash price. It is essential to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer significant fee reductions for upfront payment.

The facility's pricing is benchmarked against federal standards, showing a ratio of 0.8 versus the Medicare amount of $6,176.47. Although the data does not provide explicit county or state average comparisons for this specific procedure, understanding the Medicare benchmark helps contextualize the facility's pricing structure. Commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, so patients should verify their specific plan's allowed amount before scheduling. To ensure transparency and avoid unexpected charges, consumers are advised to request a full itemized bill before finalizing payment, as summary bills may obscure individual line items or unbundled codes.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals