Gallbladder removal (laparoscopic)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $7,024
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.14x 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 | $7,024 | 114% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Via Christi Hospital Wichita St Teresa, Inc in Wichita, KS, the facility's negotiated rate is $7,024.00, which aligns exactly with the single payer rate reported for Cigna. This negotiated amount is 10% higher than the Medicare benchmark of $6,176.47, reflecting the standard administrative markup inherent in commercial insurance contracts. While the facility is a voluntary non-profit church-owned acute care hospital with a 4-star rating, patients should note that cash-pay options are not listed in the current data. However, for individuals with high-deductible plans, it is often financially advantageous to inquire directly with the hospital about self-pay or prompt-pay discounts, as these upfront rates can sometimes be lower than the insurance negotiated amount.
Because commercial insurance rates often include administrative overhead and do not reflect the true cost of care, comparing this price solely to the hospital's list price can be misleading. The most reliable way to evaluate pricing is to compare the negotiated rate against the Medicare benchmark, which serves as a scientifically validated baseline for the "true cost" of delivery. If a patient receives care from an out-of-network provider at this facility, they may face balance billing for the difference between the provider's chargemaster and the insurance allowed amount, though the No Surprises Act protects patients from such surprise bills for emergency and non-emergency services at in-network facilities. To ensure accuracy, patients should request a full itemized bill before paying, as summary invoices may obscure unbundled charges or services not rendered, and they should dispute any errors in writing rather than accepting verbal assurances.