Gallbladder removal (laparoscopic)
Facility: Wamego Health Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $452
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.07x 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 | $364 - $435 | 6% |
| Medicaid / KanCare | $379 - $457 | 6% |
| Aetna | $379 - $452 | 6% |
| Providrs Care | $797 | 13% |
| Tricare | $3,487 | 56% |
| Blue Cross Blue Shield | $9,026 - $9,501 | 146% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Wamego Health Center in Wamego, KS, the negotiated rates paid by insurance plans range from $364 to $9,501 depending on the carrier. While Medicaid/KanCare and Aetna plans have negotiated rates between $348 and $457, Tricare charges a fixed $797, and Blue Cross Blue Shield rates vary significantly between $9,026 and $9,501. It is important to note that cash payments are not listed for this service, meaning patients without insurance coverage would not be able to pay the facility directly at a discounted rate. Additionally, the median negotiated rate of $452 is substantially lower than the Medicare benchmark of $6,176.47, indicating that commercial contracts are utilizing the federal government's cost-based baseline to set significantly lower prices than the standard Medicare reimbursement.
Patients should be aware that while in-network insurance contracts provide a price ceiling, these negotiated rates often include administrative overhead and may not represent the lowest possible cost if a patient has a high deductible. Since cash prices are not available for this specific code, patients cannot utilize prompt-pay discounts or self-pay rates to reduce their out-of-pocket expenses. However, if a patient's insurance plan has a high deductible and the negotiated rate exceeds their expected cash alternative (if available for similar services elsewhere), they should verify their deductible status before scheduling. Furthermore, if any unexpected charges arise from out-of-network ancillary services like emergency physicians or labs, the No Surprises Act protects patients from balance billing for these specific services at in-network facilities, and patients should dispute any surprise bills in writing rather than