Gallbladder removal (laparoscopic)
Facility: Children'S Mercy South
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $1,148
- Cash Discount Price: $945
- vs. Medicare Baseline: 0.19x 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 |
|---|---|---|
| UnitedHealthcare | $345 - $1,268 | 6% |
| Healthy Blue | $392 - $653 | 6% |
| Home State Health | $392 | 6% |
| Medicaid / KanCare | $659 | 11% |
| Wppa Providrs Care | $767 | 12% |
| Healthlink | $818 | 13% |
| Health Midwest Comprehensive Care | $888 | 14% |
| Blue Cross Blue Shield | $912 - $1,181 | 15% |
| Quiktrip | $926 | 15% |
| American Healthcare Alliance | $943 | 15% |
| Medica | $1,148 | 19% |
| Multiplan | $1,175 | 19% |
| Aetna | $1,181 - $1,369 | 19% |
| Wellfit/Centrus | $1,227 | 20% |
| Humana | $1,228 | 20% |
| Orscheln | $1,241 | 20% |
| Nebraska Furniture Mart | $1,261 | 20% |
| Centivo | $1,264 | 20% |
| Cigna | $1,426 | 23% |
| Mercy Health | $1,437 | 23% |
| Coxhealth Network | $1,457 | 24% |
| Coventry Health Care Of Kansas | $1,492 | 24% |
| National Preferred Provider Network | $1,733 | 28% |
Consumer Guidance & Cost Commentary
For the gallbladder removal (laparoscopic) procedure at Children's Mercy South in Overland Park, KS, the facility's cash median price is $945.00, which is significantly lower than the state average for this service. While many commercial payers negotiate rates that exceed this cash price—ranging from $345 for UnitedHealthcare plans to $1,733 for the National Preferred Provider Network—patients with high-deductible plans may find paying cash upfront more cost-effective. The facility offers a voluntary non-profit status and is located in the 66211 zip code, with a gross chargemaster of $1,969.00. Because commercial negotiated rates often include administrative overhead and do not reflect the true cost of care, comparing these figures to the Medicare benchmark of $6,176.47 reveals that the cash price represents a substantial discount relative to federal reimbursement standards.
To minimize unexpected costs, patients should proactively request a prompt-pay discount or self-pay rate before scheduling, as waiting until after insurance submission can void these agreements. It is also critical to avoid accepting summary bills; instead, patients should demand a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through written dispute. Under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any surprise charges should be disputed immediately with the insurer rather than paid out of pocket. Finally, since the facility's negotiated rates vary widely by payer—from $392 for Home State Health to $1,492 for Covent