CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $3,359
  • Cash Discount Price: $3,004
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Rockcastle County Hospital, Inc. is $3,359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,004. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.54x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$3,004

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,359

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)
Cash / Self-Pay: $3,004 (49%)
Insurance Median: $3,359 (54%)
Cash: $3,004 (49% of Medicare)
Ins. Median: $3,359 (54% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $322 - $5,672 5%
UnitedHealthcare $350 - $523 6%
Caresource Mcaid $523 8%
Coventry Mcaid-All Plans $523 8%
Medicaid / KanCare $523 8%
Molina Mcaid $523 8%
Passport Hp Hmo - All Plans $1,067 17%
Blue Cross Blue Shield $2,687 - $5,672 44%
Multiplan-All Plans $3,359 54%
Prime Health Services-All Plans $3,359 54%
Integrated Hp-All Plans $3,517 57%
Corvel - All Plans $3,557 58%
Center Care-All Plans $3,754 61%
Cigna $3,833 62%
Tricare $4,254 69%
Caresource Mcr Adv-All Other Plans $5,672 92%
Molina Marketplace - All Other Plans $5,672 92%
Molina Mcr Adv $5,672 92%
Signature Mcr Adv-All Plans $5,672 92%
Wellcare Mcr Adv-All Other Plans $5,672 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals