Gallbladder removal (laparoscopic)
Facility: Hiawatha Community Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $789
- Cash Discount Price: $1,376
- vs. Medicare Baseline: 0.13x 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 |
|---|---|---|
| Healthy Blue Mcaid - All Plans | $535 - $1,789 | 9% |
| Ambetter / Centene | $536 | 9% |
| Aetna | $568 - $810 | 9% |
| UnitedHealthcare | $568 - $682 | 9% |
| Humana | $568 | 9% |
| Centrus Health Direct - All Plans | $682 | 11% |
| Wppa Providrs Care - All Plans | $767 | 12% |
| Preferred Hlth - All Plans | $833 | 13% |
| Multiplan - All Plans | $853 | 14% |
| Oscar - All Plans | $909 | 15% |
| Cigna | $1,077 | 17% |
| Midlands Choice - All Plans | $1,439 | 23% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Hiawatha Community Hospital in Hiawatha, KS, the cash price is $1,376.00, which matches the facility's cash median. This rate is significantly lower than the state average for this service, as the cash price is well below the typical commercial negotiated rates seen across the region. While many insurance plans have negotiated rates ranging from $535 to $1,789 depending on the carrier, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $1,376.00. It is important to note that while the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should always verify their specific plan's allowed amount before scheduling to ensure they are not facing unexpected balance billing.
The facility's negotiated rates vary widely among payers, with the lowest negotiated amount being $535 and the highest reaching $1,439. However, the median negotiated rate across all payers is $789.00, which is lower than the cash price but still subject to the patient's specific deductible and copay obligations. Medicare serves as a key benchmark for pricing transparency, with a reimbursement rate of $6,176.47 for this procedure; commercial rates are often compared against this figure to assess fairness, though the actual cash price remains the most direct comparison for self-pay patients. To maximize savings, consumers should request a prompt-pay discount or self-pay classification prior to check-in, as hospitals often offer immediate fee reductions for upfront payments that bypass the administrative costs associated with insurance claims processing.