Gallbladder removal (laparoscopic)
Facility: Osborne County Memorial Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $6,799
- Cash Discount Price: $6,386
- vs. Medicare Baseline: 1.10x 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 | $5,710 | 92% |
| Health Partners Of Kansas | $6,461 | 105% |
| Wppa | $7,137 | 116% |
| Blue Cross Blue Shield | $7,363 | 119% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Osborne County Memorial Hospital, the cash median price is $6,386.00, which is lower than the negotiated rates paid by major payers such as UnitedHealthcare ($5,710) and Health Partners Of Kansas ($6,461). This facility, a Critical Access Hospital in Osborne, KS, lists a cash price that is notably lower than the state average for this service, offering a potential savings opportunity for patients with high-deductible plans or those without insurance. While the Medicare benchmark for this code is $6,176.47, the cash rate remains competitive and aligns closely with the federal baseline, suggesting the facility is pricing near the true cost of care rather than inflating charges for commercial payers.
Patients should be aware that while insurance contracts often set a ceiling on what is allowed, the actual amount paid can vary based on individual plan deductibles and negotiated tiers. If you are self-pay or have a high-deductible plan, paying the cash price of $6,386.00 upfront may result in lower out-of-pocket costs compared to your insurance's negotiated rate, especially if your deductible has not yet been met. To maximize savings, you should explicitly request a "self-pay" or "prompt-pay" discount from the hospital before scheduling, as these programs can offer additional reductions for immediate payment. Additionally, if you are billed by an out-of-network provider at this facility, remember that the No Surprises Act protects you from balance billing for emergency and non-emergency services, and you should never sign away your rights to dispute such bills without first reviewing the terms carefully.