Gallbladder removal (laparoscopic)
Facility: Holton Community Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,231
- Cash Discount Price: $1,425
- vs. Medicare Baseline: 0.20x 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 |
|---|---|---|
| UnitedHealthcare | $568 - $7,311 | 9% |
| Aetna | $568 - $7,311 | 9% |
| Humana | $574 - $3,914 | 9% |
| Kansas Superior Select - All Plans | $580 - $3,952 | 9% |
| Medicaid / KanCare | $583 - $7,311 | 9% |
| Preferred Health Freedom | $1,048 - $6,068 | 17% |
| Preferred Health Fn Select - All Other Plans | $1,048 - $6,068 | 17% |
| Preferred Health Professionals | $1,048 - $6,068 | 17% |
| Wppa Providers - All Plans | $1,200 - $6,945 | 19% |
| Blue Cross Blue Shield | $4,826 | 78% |
Consumer Guidance & Cost Commentary
For a gallbladder removal (laparoscopic) at Holton Community Hospital in Holton, KS, the cash median price is $1,425, while the facility's negotiated rates with insurance payers range from $568 to $7,311. The cash price is notably lower than the median negotiated rate of $3,952, which suggests that patients with high-deductible plans might save money by paying out-of-pocket, provided they can secure a self-pay or prompt-pay discount. It is important to note that while the facility is a Critical Access Hospital in Kansas, the specific county or state average data for this procedure was not included in the provided information, so direct regional comparisons cannot be made.
The Medicare benchmark for this service is $6,176.47, which serves as a scientifically validated baseline for evaluating pricing markups. Commercial negotiated rates often exceed this benchmark due to administrative costs and contract structures, but the cash price of $1,425 represents a significant reduction compared to the Medicare amount. To ensure you receive the best possible rate, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, effectively bypassing the higher administrative fees associated with insurance claims processing.