Gallbladder removal (laparoscopic)
Facility: Cheyenne County Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $5,151
- Cash Discount Price: $3,675
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Healthy Blue Mcr Adv | $289 - $5,633 | 5% |
| Tricare | $289 - $5,633 | 5% |
| Aetna | $289 - $7,432 | 5% |
| UnitedHealthcare | $289 - $7,823 | 5% |
| Choice Care - All Plans | $319 - $5,689 | 5% |
| First Health - All Plans | $576 - $5,476 | 9% |
| Firstguard - All Plans | $659 - $6,259 | 11% |
| Wppa - All Plans | $741 - $7,041 | 12% |
| Cpm - All Plans | $782 - $7,432 | 13% |
| Preferred Hc - All Plans | $782 - $7,432 | 13% |
| Midlands Choice - All Plans | $799 - $7,588 | 13% |
| Health Partners - All Plans | $807 - $7,667 | 13% |
| Integrated Hp - All Plans | $807 - $7,667 | 13% |
| Ppo Next - All Plans | $807 - $7,667 | 13% |
| Unicare - All Plans | $807 - $7,667 | 13% |
| Childrens Mercy - All Plans | $823 - $7,823 | 13% |
| Healthwave Mcaid - All Plans | $823 - $7,823 | 13% |
| Healthy Blue Mcaid - All Other Plans | $823 - $7,823 | 13% |
| Providers Care-All Plans | $1,235 - $11,735 | 20% |
| Blue Cross Blue Shield | $4,826 | 78% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Cheyenne County Hospital in St. Francis, KS, the cash price is $3,675, which is lower than the median negotiated rate of $5,633 paid by Healthy Blue Mcr Adv and Tricare. While the facility's cash rate is below the gross charge of $4,323, patients with high-deductible plans may find paying out-of-pocket more cost-effective if their insurance negotiated rate exceeds this amount. It is important to note that the median negotiated rate of $5,633 is significantly lower than the Medicare benchmark of $6,176.47, suggesting the facility's commercial contracts are already priced competitively relative to federal standards.
Patients should verify their specific plan details before scheduling, as commercial rates vary widely among the 20 payers listed, ranging from a low of $289 to a high of $11,735 depending on the insurer. For instance, while Blue Cross Blue Shield has a fixed negotiated rate of $4,826, other carriers like Aetna and UnitedHealthcare have ranges extending up to $7,823. To potentially reduce costs, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment. Additionally, since over 80% of hospital bills contain errors, requesting a detailed, itemized statement before finalizing payment is a critical step to ensure accuracy and avoid unnecessary charges.