Gallbladder removal (laparoscopic)
Facility: Memorial Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $597
- Cash Discount Price: $1,128
- vs. Medicare Baseline: 0.10x 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 | $568 | 9% |
| Ambetter / Centene | $625 | 10% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Memorial Hospital in Abilene, KS, the cash price is $1,128.00, which matches the facility's cash median. While this cash rate is significantly lower than the Medicare benchmark of $6,176.47, it is also higher than the state and county average negotiated rate of $597.00. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their specific insurance negotiated rate, as commercial contracts often include administrative overhead that inflates the allowed amount. It is important to note that while the facility is a Critical Access Hospital owned by a Government Hospital District, the cash rate does not automatically reflect any potential "self-pay" or "prompt-pay" discounts that might be available if paid in full upfront.
This service is categorized under CPT code 47562, and the facility has no contractual agreements with the two major payers listed for this procedure: Tricare and Ambetter / Centene. Because these payers have no contract with the hospital, they are not bound by rate caps, which can lead to balance billing if a patient receives care from an out-of-network provider at an in-network facility. Under the No Surprises Act, balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities is banned, but patients should still verify their network status and request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice. Given that over 80% of hospital bills contain errors, consumers are advised to demand a full CPT-coded statement before agreeing to