Gallbladder removal (laparoscopic)
Facility: Logan County Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $5,221
- Cash Discount Price: $4,307
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Humana | $574 - $5,221 | 9% |
| UnitedHealthcare | $574 | 9% |
| Medicaid / KanCare | $583 - $12,307 | 9% |
| Blue Cross Blue Shield | $6,872 | 111% |
| Health Partners - All Plans | $11,692 | 189% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Logan County Hospital in Oakley, KS, the cash price is $4,307.00, which is lower than the facility's gross charge of $6,796.00. While the hospital is a Critical Access Hospital owned by the local government, patients should note that commercial insurance negotiated rates can sometimes exceed cash prices. For instance, Medicaid/KanCare has a high-end negotiated rate of $12,307.00, which is significantly higher than the cash option. This highlights that for patients with high-deductible plans or those who have already met their deductible, paying the cash price directly may result in lower out-of-pocket costs compared to relying on insurance reimbursement, especially when the insurer's allowed amount is substantial.
To ensure you are not overcharged, it is crucial to request a full itemized bill before paying, as summary bills often hide errors or unbundled charges. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the total amount owed if paid in full upfront, bypassing the administrative costs associated with insurance claims. Since the facility is in-network for several payers including Humana and UnitedHealthcare, the No Surprises Act protects you from balance billing for emergency services, but you should still verify your specific plan's deductible status and allowed amounts to avoid unexpected gaps in coverage.