Gallbladder removal (laparoscopic)
Facility: Scott County Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $6,872
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.11x 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 |
|---|---|---|
| Wppa | $1,200 - $5,837 | 19% |
| UnitedHealthcare | $1,869 - $9,243 | 30% |
| Humana | $4,086 | 66% |
| Blue Cross Blue Shield | $6,872 | 111% |
| Aetna | $8,756 | 142% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Scott County Hospital in Scott City, KS, the negotiated rates range from $1,200 to $9,243 across five insurance plans, with a median negotiated amount of $6,872. This facility operates as a Critical Access Hospital and is owned by a voluntary non-profit. While the data does not provide specific cash or median paid figures, patients with high-deductible plans should be aware that paying cash upfront can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price. It is essential to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative fees and claims processing costs.
The facility's pricing is benchmarked against the Medicare rate of $6,176.47, showing a markup factor of 1.1. Although the data does not include explicit comparisons to state or county averages, understanding the relationship between the Medicare baseline and the negotiated rates helps clarify the true cost structure. Patients should be cautious of balance billing, which occurs when out-of-network providers bill the difference between the chargemaster rate and the insurance allowed amount; however, the No Surprises Act protects patients from such surprise bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, consumers should request a full itemized bill before paying, as summary bills often obscure individual charges and potential errors.