Gallbladder removal (laparoscopic)
Facility: Mitchell County Hospital Health Systems
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,021
- Cash Discount Price: $1,086
- vs. Medicare Baseline: 0.17x 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 | $535 - $1,147 | 9% |
| Auxiant-All Plans | $811 | 13% |
| First Health-All Plans | $1,021 | 17% |
| Aetna | $1,021 | 17% |
| Triwest Well Mark All Plans | $1,026 | 17% |
| Health Partners Ks-All Plans | $1,077 | 17% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Mitchell County Hospital Health Systems in Beloit, KS, the facility's negotiated rates range from $535 to $1,147 depending on the insurance plan, with a median negotiated amount of $1,021. This rate is significantly lower than the facility's gross charge of $1,207, reflecting the standard contractual caps that protect in-network members from balance billing. However, it is important to note that the cash median price of $1,086 is actually higher than the median negotiated rate of $788, meaning patients with high-deductible plans or those without insurance might save money by paying cash directly, provided they qualify for the facility's self-pay or prompt-pay discounts.
When evaluating the cost relative to national standards, the facility's Medicare benchmark of $6,176.47 serves as the objective baseline for pricing. While the commercial negotiated rates are lower than the gross charges, they still represent a substantial portion of the Medicare amount, consistent with typical commercial pricing structures that often range between 200% and 300% of Medicare rates. Consumers should be aware that while the No Surprises Act protects against unexpected balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to request an itemized bill before paying to ensure no unbundled codes or services not rendered are included. Always verify your specific plan's deductible status and ask the hospital directly about available cash discounts before scheduling to ensure you are receiving the most favorable rate.