CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Mercy Hospital Springfield
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $5,184
- Cash Discount Price: $14,317
- vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Springfield is $5,184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,317. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.84x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$14,317
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,184
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: $14,317 (232%)
Insurance Median: $5,184 (84%)
Cash: $14,317 (232% of Medicare)
Ins. Median: $5,184 (84% 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 |
|---|---|---|
| Medicaid / KanCare | $363 - $10,669 | 6% |
| Blue Cross Blue Shield | $603 - $11,697 | 10% |
| Evolutions Health Care Contracted [320124] | $2,134 | 35% |
| Federal Medical Center Contracted [320127] | $2,310 | 37% |
| Benefit Management Contracted [320052] | $2,390 | 39% |
| Health Systems Inc Contracted [320174] | $2,390 | 39% |
| Insurance System Inc Contracted [320465] | $2,390 | 39% |
| Point C Contracted [320238] | $3,964 - $5,815 | 64% |
| Mercy Benefit Admin Contracted [320251] | $4,075 - $4,557 | 66% |
| United Medical Resources Contracted [320454] | $4,164 | 67% |
| Point C [20238] | $4,246 | 69% |
| Aither Health Contracted [320449] | $4,263 | 69% |
| Auxiant Contracted [320462] | $4,263 | 69% |
| Ebms Contracted [320493] | $4,263 | 69% |
| Edison Health Solutions Contracted [320502] | $4,263 | 69% |
| Healthlink Contracted [320179] | $4,263 | 69% |
| Imagine 360 Contracted [320494] | $4,263 | 69% |
| Reflect Health Contracted [320492] | $4,263 | 69% |
| Yuzu Health Contracted [320521] | $4,263 | 69% |
| 90 Degree Benefits Contracted [320436] | $4,350 | 70% |
| Show-Me Health Administrators Contracted [320483] | $4,350 - $4,557 | 70% |
| Aetna | $5,184 - $5,196 | 84% |
| Centurion Of Missouri [20459] | $5,184 | 84% |
| Champva [20065] | $5,184 | 84% |
| Cherokee Nation Health Serv Contracted [320066] | $5,184 | 84% |
| Cigna | $5,184 | 84% |
| Cross Timbers Hospice [20098] | $5,184 | 84% |
| Dept Of Veteran Affairs Contracted [320106] | $5,184 | 84% |
| Elara Caring Aspire Hospice [20433] | $5,184 | 84% |
| Globalhealth Contracted [320145] | $5,184 | 84% |
| Halo Hcr Inc Hospice Contracted [320432] | $5,184 | 84% |
| Halo Hcr Inc Hospice [20432] | $5,184 | 84% |
| Humana | $5,184 - $6,401 | 84% |
| Indian Health Service Contracted [320198] | $5,184 | 84% |
| Indian Health Service [20198] | $5,184 | 84% |
| Kindful Hospice Contracted [320434] | $5,184 | 84% |
| Kindful Hospice [20434] | $5,184 | 84% |
| Medicare (plans) | $5,184 - $5,448 | 84% |
| Mercy Hospice Okc [20252] | $5,184 | 84% |
| Mercy Mgd Behavioral Health Contracted [320259] | $5,184 | 84% |
| Mercy Rehab Hospital Contracted [320260] | $5,184 | 84% |
| Pace Of The Ozarks Contracted [320518] | $5,184 | 84% |
| Qual Choice Contracted [320325] | $5,184 | 84% |
| Tricare | $5,184 | 84% |
| UnitedHealthcare | $5,184 - $8,455 | 84% |
| Provider Partners Health Plans Contracted [320450] | $5,712 | 92% |
| Healthscope Contracted [320182] | $6,606 | 107% |
| Centivo Contracted [320505] | $8,719 | 141% |
| Ambetter / Centene | $10,669 | 173% |
| Home State Health Plan Contracted [320187] | $10,669 | 173% |
| Novasys Contracted [320285] | $10,669 | 173% |
| Providrs Care Network Contracted [320484] | $10,792 | 175% |