CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Hospital Lebanon

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,552
  • Cash Discount Price: $6,794
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Lebanon is $5,552. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,794. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.90x the Medicare baseline. Located in 100 Hospital Drive, Lebanon, MO.
Cash / Self-Pay
$6,794

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,552

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: $6,794 (110%)
Insurance Median: $5,552 (90%)
Cash: $6,794 (110% of Medicare)
Ins. Median: $5,552 (90% 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 $603 - $15,029 10%
Indian Health Service Contracted [320198] $603 10%
Medicaid / KanCare $1,869 - $8,207 30%
Health Systems Inc Contracted [320174] $2,134 35%
Insurance System Inc Contracted [320465] $2,134 35%
Ambetter / Centene $4,556 74%
Home State Health Plan Contracted [320187] $4,556 74%
Novasys Contracted [320285] $4,556 74%
Medicare (plans) $5,343 - $5,660 87%
Aetna $5,552 90%
Champva [20065] $5,552 90%
Cherokee Nation Health Serv Contracted [320066] $5,552 90%
Cigna $5,552 90%
Cross Timbers Hospice [20098] $5,552 90%
Dept Of Veteran Affairs Contracted [320106] $5,552 90%
Elara Caring Aspire Hospice [20433] $5,552 90%
Globalhealth Contracted [320145] $5,552 90%
Halo Hcr Inc Hospice Contracted [320432] $5,552 90%
Halo Hcr Inc Hospice [20432] $5,552 90%
Humana $5,552 90%
Kindful Hospice Contracted [320434] $5,552 90%
Kindful Hospice [20434] $5,552 90%
Mercy Hospice Okc [20252] $5,552 90%
Mercy Mgd Behavioral Health Contracted [320259] $5,552 90%
Pace Of The Ozarks Contracted [320518] $5,552 90%
Provider Partners Health Plans Contracted [320450] $5,552 90%
Qual Choice Contracted [320325] $5,552 90%
Tricare $5,552 90%
UnitedHealthcare $5,552 - $7,461 90%
Healthscope Contracted [320182] $7,075 115%
Centivo Contracted [320505] $9,338 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Hospital Drive, Lebanon, MO 65536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals