Gallbladder removal (laparoscopic)
Facility: Minneola District Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $7,862
- Cash Discount Price: $6,115
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Va Community Care Program-All Plans | $5,852 | 95% |
| Humana | $5,852 | 95% |
| UnitedHealthcare | $5,852 - $8,735 | 95% |
| Blue Cross Blue Shield | $6,518 | 106% |
| Providrs Care Network-All Plans | $7,425 | 120% |
| Corporate Plan Management-All Plans | $7,425 | 120% |
| Preferred Health Care (Coventry)-All Other Plans | $7,862 | 127% |
| Triwest-All Plans | $7,862 | 127% |
| Health Partners Of Kansas-All Plans | $8,298 | 134% |
| Phc (Coventry) Leased Network | $8,298 | 134% |
| Aetna | $8,298 - $8,735 | 134% |
| Medicaid / KanCare | $8,735 | 141% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Minneola District Hospital in Minneola, KS, the facility's cash median rate is $6,115, which is lower than the gross charge of $8,735. While the hospital is a government-owned Critical Access Hospital, patients with high-deductible plans or those without insurance may find the cash price more affordable than the negotiated rates charged by insurance payers. For instance, UnitedHealthcare and Aetna have negotiated ranges that extend up to the gross amount, meaning patients relying on these plans could face higher out-of-pocket costs than paying cash directly. It is important to note that cash-pay options can sometimes be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, so verifying the specific allowed amount for your plan is essential before scheduling.
The facility's median negotiated rate is $7,862, which aligns with the median negotiated rate across all payers listed in this report. Although the data does not provide specific state or county average comparisons for this specific CPT code, the facility's pricing structure reflects standard commercial negotiations where rates often exceed the Medicare benchmark of $6,176.47. To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you are concerned about potential balance billing or billing errors, you should request a full itemized CPT-coded bill before paying, as summary bills often obscure individual charges and may contain unbundled codes or services not rendered.