Gallbladder removal (laparoscopic)
Facility: Ellinwood District Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $6,209
- Cash Discount Price: $7,540
- vs. Medicare Baseline: 1.01x 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 |
|---|---|---|
| Aetna | $6,209 | 101% |
| UnitedHealthcare | $6,209 | 101% |
| Blue Cross Blue Shield | $6,209 | 101% |
| Cigna | $6,209 | 101% |
| Humana | $6,209 | 101% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Ellinwood District Hospital, the facility's cash median rate is $7,540, while the negotiated rate paid by major insurers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield is $6,209. In this specific case, the cash price is higher than the insurance negotiated rate, meaning patients with high-deductible plans might save money by using their insurance coverage rather than paying out-of-pocket. It is important to note that while the facility is a Critical Access Hospital in Ellinwood, KS, the data provided does not include specific county or state average comparisons for this procedure, so no direct regional benchmarking can be made from the available figures.
Patients should be aware that commercial insurance rates often include administrative overhead and contract dynamics that can make them higher than cash prices, even though they protect against balance billing for in-network care. If you choose to pay cash, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can sometimes lower the final cost despite the current cash median being higher than the insurer's allowed amount. Additionally, if you receive a bill, always request a full itemized statement to verify that no services were unbundled or incorrectly charged, as over 80% of hospital bills contain errors that can be resolved through a formal written audit dispute.