CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Hospital Jefferson

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,108
  • Cash Discount Price: $11,487
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Jefferson is $5,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,487. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.83x the Medicare baseline. Located in 1400 Us Highway 61, Crystal City, MO.
Cash / Self-Pay
$11,487

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,108

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: $11,487 (186%)
Insurance Median: $5,108 (83%)
Cash: $11,487 (186% of Medicare)
Ins. Median: $5,108 (83% 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
Blue Cross Blue Shield $625 - $9,850 10%
Indian Health Service Contracted [320198] $625 10%
Mercy Benefit Admin Contracted [320251] $3,000 - $4,812 49%
Mercy Benefit Admin [20251] $3,000 - $4,812 49%
Show-Me Health Administrators Contracted [320483] $4,671 - $4,905 76%
Aither Health Contracted [320449] $4,812 78%
Aither Health [20449] $4,812 78%
Auxiant Contracted [320462] $4,812 78%
Ebms Contracted [320493] $4,812 78%
Edison Health Solutions Contracted [320502] $4,812 78%
Healthlink Contracted [320179] $4,812 78%
Imagine 360 Contracted [320494] $4,812 78%
Reflect Health Contracted [320492] $4,812 78%
Yuzu Health Contracted [320521] $4,812 78%
Medicaid / KanCare $4,974 - $8,207 81%
Medica Contracted [320239] $5,108 83%
Aetna $5,421 - $5,664 88%
American Health Advantage Of Mo Mcr [10473] $5,421 88%
Cherokee Nation Health Serv Contracted [320066] $5,421 88%
Cross Timbers Hospice [20098] $5,421 88%
Dept Of Veteran Affairs Contracted [320106] $5,421 88%
Elara Caring Aspire Hospice Contracted [320433] $5,421 88%
Elara Caring Aspire Hospice [20433] $5,421 88%
Globalhealth Contracted [320145] $5,421 88%
Halo Hcr Inc Hospice Contracted [320432] $5,421 88%
Halo Hcr Inc Hospice [20432] $5,421 88%
Humana $5,421 88%
Kindful Hospice Contracted [320434] $5,421 88%
Kindful Hospice [20434] $5,421 88%
Medicare (plans) $5,421 - $5,698 88%
Mercy Hospice Okc [20252] $5,421 88%
Pace Of The Ozarks Contracted [320518] $5,421 88%
Qual Choice Contracted [320325] $5,421 88%
Tricare $5,421 88%
UnitedHealthcare $5,421 - $6,466 88%
Hope Trust Contracted [320488] $5,526 89%
Cigna $5,530 - $13,048 90%
Provider Partners Health Plans Contracted [320450] $5,974 97%
Healthscope Contracted [320182] $6,908 112%
Centivo Contracted [320505] $9,118 148%
Preferred Health Plan Contracted [320522] $9,671 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Us Highway 61, Crystal City, MO 63019
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals