Gallbladder removal (laparoscopic)
Facility: Wilson Medical Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $10,016
- Cash Discount Price: $9,390
- vs. Medicare Baseline: 1.62x 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 |
|---|---|---|
| Blue Cross Blue Shield | $4,826 - $12,520 | 78% |
| UnitedHealthcare | $6,636 - $11,644 | 107% |
| Tricare | $6,636 | 107% |
| Aetna | $6,636 - $12,520 | 107% |
| Humana | $6,636 | 107% |
| Ambetter / Centene | $6,636 - $12,520 | 107% |
| Cigna | $10,016 | 162% |
| Mulitplan-All Plans | $11,518 | 186% |
| Health Partners-All Plans | $11,518 | 186% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Wilson Medical Center in Neodesha, KS, the facility's cash median price of $9,390 is lower than the gross charge of $12,520, offering potential savings for patients without insurance or those with high-deductible plans. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates vary significantly by payer; for instance, Tricare and Humana pay a flat $6,636, whereas Aetna and Ambetter / Centene range up to the full gross amount. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures, meaning paying out-of-pocket upfront can sometimes result in a lower total cost than relying on insurance reimbursement, which may still leave patients responsible for deductibles and copays.
Patients should be aware of balance billing risks, particularly if receiving care from out-of-network providers or ancillary services like emergency physicians, where the provider may bill the difference between the allowed amount and the full chargemaster rate. Although the No Surprises Act protects against surprise billing for emergency care and non-emergency services at in-network facilities, patients should still request an itemized bill to verify that all charges correspond to services actually rendered and to identify any unbundled codes or errors. Furthermore, before finalizing payment, individuals should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the final balance by 20% to 50% if settled in full within a short window, effectively bypassing the costly claims processing cycle that inflates insurance-based billing.