Gallbladder removal (laparoscopic)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,495
- Cash Discount Price: $4,286
- vs. Medicare Baseline: 0.24x 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 |
|---|---|---|
| Direct Benefit-All Plans | $222 - $2,064 | 4% |
| UnitedHealthcare | $268 - $8,600 | 4% |
| Berkley Net-All Plans | $370 - $3,440 | 6% |
| Aetna | $407 - $5,848 | 7% |
| Trustmark Health Benefits-All Plans | $407 - $3,784 | 7% |
| Meritain Health-All Plans | $416 - $3,870 | 7% |
| Ambetter / Centene | $444 - $4,128 | 7% |
| Axa Equitable - All Plans | $509 - $4,730 | 8% |
| Pinnacol-All Plans | $518 - $4,816 | 8% |
| Medi-Share-All Plans | $527 - $4,902 | 9% |
| Presbyterian-All Plans | $564 - $5,246 | 9% |
| Kasb Work Comp - All Plans | $592 - $5,504 | 10% |
| The Kempton Group Admin-All Plans | $638 - $5,934 | 10% |
| Gpha(Wppa)-All Other Plans | $648 - $6,020 | 10% |
| Auxiant - All Plans | $648 - $6,020 | 10% |
| Wppa- All Plans | $657 - $6,106 | 11% |
| Emc-All Plans | $666 - $6,192 | 11% |
| Sisco-All Plans | $666 - $6,192 | 11% |
| Providers Care Network- All Plans | $666 - $6,192 | 11% |
| Gpha Employee Benefit Plan | $675 - $6,278 | 11% |
| Employee Benefit-All Plans | $694 - $6,450 | 11% |
| Regional Care(Wppa)-All Plans | $694 - $6,450 | 11% |
| Triangle-All Plans | $703 - $6,536 | 11% |
| First Health -All Plans | $703 - $6,536 | 11% |
| One Call Physician-All Plans | $712 - $6,622 | 12% |
| Blue Cross Blue Shield | $731 - $6,794 | 12% |
| Tricare | $740 - $6,880 | 12% |
| Christian Hospital Aid - All Plans | $740 - $6,880 | 12% |
| Humana | $796 - $7,396 | 13% |
| Luminare Health- All Plans | $814 - $7,568 | 13% |
| Cigna | $814 - $7,568 | 13% |
| Coresource-All Plans | $832 - $7,740 | 13% |
| Deseret Mutual(Uhis)-All Plans | $832 - $7,740 | 13% |
| Vaccn-All Plans | $851 - $7,912 | 14% |
| Wps Vapc-All Plans | $879 - $8,170 | 14% |
| Hma Llc-All Plans | $879 - $8,170 | 14% |
| Reserve National-All Plans | $879 - $8,170 | 14% |
| Medicaid / KanCare | $925 - $8,600 | 15% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Satanta District Hospital, the cash price is $4,286, which is lower than the facility's gross charge of $4,763. While the hospital's negotiated rates with insurance plans range from $222 to $8,600, the cash price may be more cost-effective for patients with high-deductible plans or those without insurance, as the cash rate is significantly lower than the median negotiated amount of $1,495. It is important to note that commercial rates often include administrative overhead and contract markups, making the cash price a useful benchmark for self-pay patients. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost by bypassing the administrative costs associated with insurance claims processing.
This facility, a Critical Access Hospital in Satanta, KS, operates under a government ownership model, and its pricing is benchmarked against the Medicare rate of $6,176.47. The cash price of $4,286 represents a discount of approximately 31% compared to the Medicare amount, which serves as a scientifically validated baseline for healthcare costs. When reviewing your bill, ensure you receive an itemized statement rather than a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal audit. If you receive a balance bill for out-of-network services, you may be entitled to protections under the No Surprises Act, which bans surprise billing for emergency care and non-emergency services at in-network facilities