Gallbladder removal (laparoscopic)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,506
- Cash Discount Price: $1,361
- vs. Medicare Baseline: 0.24x 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 |
|---|---|---|
| Tricare | $559 | 9% |
| Medadv_Allwell | $637 | 10% |
| Va_Ccn | $637 | 10% |
| Medicare (plans) | $637 | 10% |
| Medadv_Uhc | $637 | 10% |
| Aetna | $637 | 10% |
| Humana | $637 | 10% |
| Blue Cross Blue Shield | $637 - $1,815 | 10% |
| Ambetter / Centene | $668 | 11% |
| Wppa_Providrscare | $1,506 | 24% |
| United | $1,510 | 24% |
| Hpk | $1,724 | 28% |
| Cigna | $1,724 | 28% |
| Coventry | $1,724 | 28% |
| Medicaid / KanCare | $1,815 | 29% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at Neosho Memorial Regional Medical Center in Chanute, KS, the cash price is $1,361, while the facility's negotiated rates with insurance plans range from $559 to $1,815. Notably, the cash price is lower than the negotiated rates for most commercial payers, including United, Hpk, and Cigna, which all list rates of $1,724 or higher. This pricing structure suggests that patients with high-deductible plans or those without insurance might save money by paying the cash price directly, as the insurance negotiated amounts often exceed the cash rate. However, patients should verify their specific plan's deductible status before assuming they will pay less out-of-pocket, as some insurers may still require full payment of the negotiated rate until the deductible is met.
To minimize unexpected costs, patients should request a prompt-pay discount if they choose to pay cash, as hospitals often offer reductions for upfront payments that bypass administrative fees. Additionally, it is crucial to obtain an itemized bill before finalizing any payment, as summary bills can obscure errors or unbundled charges that inflate the total. While this procedure is performed at a Critical Access Hospital with a government-local ownership structure, the facility's rating of 1 indicates it is a small, rural hospital where pricing dynamics may differ from larger urban centers. Consumers are advised to compare the facility's rates against state averages and contact the hospital directly to confirm self-pay or prompt-pay options prior to scheduling care.