Gallbladder removal (laparoscopic)
Facility: Morris County Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $7,111
- Cash Discount Price: $7,526
- vs. Medicare Baseline: 1.15x 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $2,189 | 35% |
| Choice Care Mcr Adv-All Plans | $4,892 | 79% |
| Coventry Mcr | $4,892 | 79% |
| Va Ccn-All Plans | $4,892 | 79% |
| UnitedHealthcare | $4,892 - $12,543 | 79% |
| Blue Cross Blue Shield | $4,892 - $7,293 | 79% |
| Cigna | $9,074 | 147% |
| Aetna | $11,239 | 182% |
| Multiplan-All Plans | $11,289 | 183% |
| Coventry Comm-All Other Plans | $11,289 | 183% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Morris County Hospital in Council Grove, Kansas, the facility's cash median price of $7,526 is notably higher than the state average of $4,892. While commercial insurance negotiated rates generally cap costs for in-network members, this specific service shows a wide variance among payers, with rates ranging from as low as $2,189 to as high as $12,543 depending on the plan. It is important to note that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly can sometimes be more affordable than relying on insurance, which may result in higher out-of-pocket costs if the negotiated rate exceeds the cash price.
When evaluating the cost relative to federal standards, the facility's cash rate is 1.2 times the Medicare amount of $6,176.47, indicating a markup consistent with commercial pricing structures. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not eliminate the need to verify specific allowed amounts before scheduling. To minimize costs, consumers are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment, and to request a detailed, itemized bill to ensure no errors or unbundled charges are included before finalizing payment.