Gallbladder removal (laparoscopic)
Facility: William Newton Hospital
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $568
- Cash Discount Price: $1,337
- vs. Medicare Baseline: 0.09x 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 |
|---|---|---|
| Triwest- All Plans | $540 | 9% |
| UnitedHealthcare | $568 | 9% |
| Blue Cross Blue Shield | $568 | 9% |
| Ambetter / Centene | $583 - $654 | 9% |
Consumer Guidance & Cost Commentary
For a laparoscopic gallbladder removal at William Newton Hospital in Winfield, KS, the cash price is $1,337.00, which matches the facility's cash median. This rate is significantly lower than the Medicare benchmark of $6,176.47, reflecting a markup of only 21% compared to the typical 200% to 300% range seen in commercial negotiations. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should note that their specific insurance plan may negotiate a different rate. For instance, the lowest negotiated rate among participating payers is $540.00 with Triwest-All Plans, whereas the highest negotiated rate is $654.00 with Ambetter/Centene. Because insurance negotiated rates often include administrative overhead and do not reflect the immediate liquidity of cash payment, patients with high-deductible plans might find the cash price more favorable if their insurance allowed amount exceeds $1,337.00.
To ensure you are receiving the most accurate pricing, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. This upfront payment bypasses the costly claims processing cycle that inflates insurance rates. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities