Gallbladder removal (laparoscopic)
Facility: Cloud County Health Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $767
- Cash Discount Price: $790
- vs. Medicare Baseline: 0.12x 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 |
|---|---|---|
| Pponext-All Plans | $429 - $1,715 | 7% |
| Mpi-All Plans | $767 | 12% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Cloud County Health Center in Concordia, KS, the cash median price is $790.00, while the median negotiated rate across payers is $767.00. This facility, a Critical Access Hospital, reports a gross charge of $1,128.00, which is significantly higher than both the cash and negotiated rates. When comparing these figures to the Medicare benchmark of $6,176.47, the facility's cash price represents a markup of approximately 12.8% above the federal baseline, aligning closely with the fair pricing range of 120% to 150% of Medicare. It is important to note that while commercial negotiated rates often average 200% to 300% of Medicare, this specific service shows a negotiated rate that is actually lower than the cash price, suggesting that paying out-of-pocket might be the most cost-effective option for patients with high-deductible plans who have not yet met their coverage thresholds.
Patients should be aware that the reported data reflects a range of $429 to $1,715 for Pponext-All Plans and a fixed rate of $767 for Mpi-All Plans, with administrative overhead typically inflating baseline prices by 20% to 40%. To secure the lowest possible cost, individuals should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as hospitals often offer fee reductions of 20% to 50% for upfront payment that bypasses costly claims processing. Furthermore, since over 80% of hospital bills contain