Gallbladder removal (laparoscopic)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $908
- Cash Discount Price: $1,610
- vs. Medicare Baseline: 0.15x 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 | $265 - $625 | 4% |
| Aetna | $568 - $3,344 | 9% |
| Blue Cross Blue Shield | $1,030 - $6,872 | 17% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Community Memorial Healthcare, Inc. in Marysville, KS, the cash median price is $1,610.00, which matches the facility's negotiated median paid rate of $559.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should note that commercial insurance negotiated rates can sometimes exceed cash prices due to administrative overhead and contract dynamics. For instance, Aetna's negotiated range spans from $568 to $3,344, and Blue Cross Blue Shield's range extends from $1,030 to $6,872, meaning a patient with a high-deductible plan might find paying the cash price directly more cost-effective than relying on insurance reimbursement if their specific plan's negotiated rate falls above $1,610.00.
To ensure you receive the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and potential errors. Additionally, inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if settled upfront, bypassing the costly claims processing cycle. While the facility's rating is 4 stars, remember that Medicare serves as the objective benchmark for fair pricing; in this case, the Medicare amount of $6,176.47 provides a scientifically validated baseline to evaluate whether commercial rates are appropriately marked up, ensuring you are not overpaying for services.