Gallbladder removal (laparoscopic)
Facility: Kansas City Orthopaedic Institute
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $13,314
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.16x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 216% of the Medicare baseline (a markup of 116%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $5,121 | 83% |
| UnitedHealthcare | $5,121 | 83% |
| Cigna | $5,488 | 89% |
| Blue Cross Blue Shield | $13,314 | 216% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Kansas City Orthopaedic Institute in Leawood, KS, the negotiated rates vary significantly depending on your insurance carrier. While Aetna, UnitedHealthcare, and Cigna have a single plan each with a negotiated rate of $5,121, $5,121, and $5,488 respectively, Blue Cross Blue Shield has five plans with a negotiated rate of $13,314. It is important to note that these negotiated rates are often higher than the actual cash price due to administrative costs and contract structures. If you have a high-deductible plan where you would pay the full amount out-of-pocket, paying cash directly might be cheaper than using insurance, as the facility's cash price could be lower than the insurer's allowed amount.
To understand the true cost relative to the region, this facility's negotiated rate is compared against state and county averages. The data indicates a Medicare benchmark amount of $6,176.47, which serves as the federal baseline for this procedure. The facility's negotiated rate for Blue Cross Blue Shield ($13,314) is 2.2 times the Medicare amount, reflecting a significant markup common in commercial contracts. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than anticipated. Additionally, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the standard insurance billing cycle.