Gallbladder removal (laparoscopic)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $626
- Cash Discount Price: $520
- vs. Medicare Baseline: 0.10x 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 | $602 - $650 | 10% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Hospital District #6 Patterson Health Center in Anthony, KS, the cash median price is $520.00, which is lower than the facility's gross charge of $650.00. While the facility is a Critical Access Hospital with government ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this specific case, the median negotiated rate is $626.00, and the allowed amount for UnitedHealthcare plans is capped between $602 and $650. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $520.00 upfront could result in significant savings compared to the insurance negotiated rate, as you would avoid the higher administrative costs embedded in the commercial billing cycle.
The Medicare benchmark for this service is $6,176.47, which serves as the objective baseline for evaluating pricing markups; commercial rates are frequently marked up significantly above this federal standard. For this specific facility, the Medicare amount of $6,176.47 is notably higher than the cash and negotiated rates provided, highlighting the substantial difference between federal reimbursement and actual patient costs. To ensure you receive the best possible price, it is recommended to explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can further reduce the final amount owed. Additionally, since the facility is in-network for UnitedHealthcare, you should verify your specific plan's deductible status and allowed amounts to determine if the cash option truly offers