Gallbladder removal (laparoscopic)
Facility: Great Plains Of Sabetha
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,541
- Cash Discount Price: $1,573
- vs. Medicare Baseline: 0.25x 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 | $435 - $10,432 | 7% |
| Medicaid / KanCare | $435 - $10,432 | 7% |
| Aetna | $439 - $10,536 | 7% |
| Celtic Mcr Adv | $568 - $5,425 | 9% |
| Celtic Comm Exchange-All Other Plans | $710 - $6,781 | 11% |
| Great West Healthcare-All Plans | $1,337 - $8,867 | 22% |
| Century/Wppa/Providers-All Plans | $1,416 - $9,910 | 23% |
| Cigna | $1,494 - $9,910 | 24% |
| Multiplan-Phcs-All Plans | $1,494 - $9,910 | 24% |
| Humana | $1,494 - $9,910 | 24% |
| Federated Mutual Ins-All Plans | $1,510 - $10,015 | 24% |
| Blue Cross Blue Shield | $1,573 - $10,432 | 25% |
Consumer Guidance & Cost Commentary
For patients undergoing a laparoscopic gallbladder removal at Great Plains of Sabetha in Sabetha, KS, the cash price is $1,573.00, which matches the facility's median negotiated rate and the cash median. While commercial insurance plans like UnitedHealthcare and Medicaid/KanCare have negotiated rates ranging from $435 to over $10,000 depending on the specific plan, the cash price remains a fixed benchmark. It is important to note that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $1,573.00 upfront can sometimes be more cost-effective than relying on insurance, especially if the insurer's allowed amount exceeds the cash rate. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost by bypassing administrative processing fees.
When evaluating the value of this service, it is critical to compare the facility's rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $6,176.47, which serves as the objective baseline for fair pricing; commercial negotiated rates often average between 200% and 300% of this figure, though fair pricing is typically defined as 120% to 150% of the Medicare rate. Since this facility is a Critical Access Hospital with a voluntary non-profit ownership structure, its pricing may reflect different cost structures than larger urban centers, but the Medicare rate remains the most reliable standard for assessing markup. If a patient receives a bill