Gallbladder removal (laparoscopic)
Facility: Amberwell Atchison Association
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $720
- Cash Discount Price: $1,376
- vs. Medicare Baseline: 0.12x 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 |
|---|---|---|
| Va Ccn - All Plans | $568 | 9% |
| Superior Select Mcr Adv - All Plans | $568 | 9% |
| Humana | $568 - $762 | 9% |
| Triwest - All Plans | $568 | 9% |
| UnitedHealthcare | $568 - $701 | 9% |
| Centrus Health Direct - All Plans | $682 | 11% |
| Cigna | $720 | 12% |
| Aetna | $797 | 13% |
| Wppa Providrs Care - All Plans | $847 | 14% |
| Ambetter / Centene | $847 | 14% |
| Oscar - All Plans | $909 | 15% |
| Blue Cross Blue Shield | $1,020 | 17% |
| Multiplan - All Plans | $1,080 | 17% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Amberwell Atchison Association, the cash median price is $1,376.00, which matches the facility's gross charge. This cash rate is significantly lower than the negotiated rates charged by most insurance payers, with the lowest negotiated amount being $720.00 and the highest reaching $1,080.00. Because commercial insurance contracts often include administrative overheads that inflate prices, paying cash upfront can sometimes result in substantial savings compared to what an insurance plan would allow. Patients with high-deductible plans should consider paying the cash price directly, provided they have verified that their out-of-pocket costs will not exceed this amount, as the insurance negotiated rate may ultimately be higher than the cash price.
To ensure you receive the most accurate pricing, it is important to distinguish between the facility's gross charges and the actual amounts billed to patients. While the facility is a Critical Access Hospital in Atchison, KS, and operates as a voluntary non-profit, the data provided does not include specific county or state average comparisons for this procedure. Regardless of location, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling any services, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you do receive a bill, always demand a full itemized statement rather than accepting a summary invoice, and verify that no balance billing is occurring for out-of-network ancillary services under federal protections.