Gallbladder removal (laparoscopic)
Facility: Hodgeman County Health Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $7,002
- Cash Discount Price: $8,752
- vs. Medicare Baseline: 1.13x 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 |
|---|---|---|
| Aetna | $3,200 | 52% |
| Blue Cross Blue Shield | $6,192 - $6,518 | 100% |
| Triwest - All Plans | $7,002 | 113% |
| Humana | $7,002 | 113% |
| UnitedHealthcare | $7,002 - $10,393 | 113% |
| Medicaid / KanCare | $7,002 - $10,940 | 113% |
| First Health - All Plans | $9,846 | 159% |
| Wppa (Provdrscare) - All Plans | $10,393 | 168% |
| Health Partners - All Plans | $10,393 | 168% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash price of $8,752 is significantly lower than the negotiated rates charged by most major insurance payers, which range from $6,192 to $10,940 depending on the plan. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans or those without insurance may find the cash price more affordable than their specific insurance coverage, as many commercial negotiated rates exceed the cash amount. It is important to note that while Medicaid/KanCare offers a range up to the gross charge of $10,940, the cash rate provides a clear baseline for self-pay patients.
To ensure you are not overcharged, you should request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, if you are self-paying, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid upfront within 30 days, bypassing the administrative costs associated with insurance claims. Since the facility's cash rate is already competitive, signing away rights to dispute out-of-network balances or accepting summary bills without review is unnecessary; always verify the exact CPT codes and total charges to confirm the final amount matches the negotiated or cash rate provided.