Gallbladder removal (laparoscopic)
Facility: Kiowa District Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $8,075
- Cash Discount Price: $6,800
- vs. Medicare Baseline: 1.31x 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 |
|---|---|---|
| Tricare | $3,315 | 54% |
| Blue Cross Blue Shield | $4,826 | 78% |
| UnitedHealthcare | $6,800 - $8,500 | 110% |
| Health Partners Of Ks-All Plans | $7,480 | 121% |
| Humana | $7,671 | 124% |
| Gbs Insurance - All Plans | $7,990 | 129% |
| Multiplan-All Plans | $7,990 | 129% |
| Triwest-All Plans | $8,075 | 131% |
| Aetna | $8,075 | 131% |
| Medicare (plans) | $8,075 | 131% |
| Healthchoice-All Plans | $8,217 | 133% |
| Medicaid / KanCare | $8,500 | 138% |
| Providers Care (Wppa)-All Plans | $12,750 | 206% |
| Liberty Healthshare-All Plans | $13,728 | 222% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Kiowa District Hospital in Kiowa, Kansas, the cash price is $6,800, while the median negotiated rate across 14 payers is $7,990. This data reflects a scenario where paying out-of-pocket can be more cost-effective than using insurance, as the cash rate is lower than the average negotiated amount. Patients with high-deductible plans should consider paying cash directly to avoid the administrative overhead and markup inherent in insurance billing cycles. It is important to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final cost for those who settle the bill upfront.
The facility's pricing is benchmarked against the Medicare rate of $6,176.47, with the cash price representing a 10% increase over this federal baseline. While the gross chargemaster listed at $8,500, the actual cash and negotiated rates are significantly lower, illustrating that commercial rates often exceed the true cost of care. Consumers should be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, but it is crucial to request an itemized bill to ensure no unbundled codes or services not rendered are included. Always confirm your specific plan's deductible status and network tier before scheduling, as the negotiated rate may not apply if your coverage is out-of-network or if you have not yet met your annual deductible.