CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Joseph Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,026
  • Cash Discount Price: $6,025
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Joseph Medical Center is $6,026. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,025. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.98x the Medicare baseline. Located in 1000 Carondelet Dr, Kansas City, MO.
Cash / Self-Pay
$6,025

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,026

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: $6,025 (98%)
Insurance Median: $6,026 (98%)
Cash: $6,025 (98% of Medicare)
Ins. Median: $6,026 (98% 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
Aetna $4,489 - $6,026 73%
Medicaid / KanCare $4,974 81%
Home State $5,670 - $9,641 92%
UnitedHealthcare $5,769 - $14,834 93%
Cigna $6,026 98%
Medicare (plans) $6,026 - $6,327 98%
Pace Kc (Swope Health Services) $6,026 98%
Tricare $6,026 98%
Veterans Evaluation Services $6,026 98%
Healthy Blue $6,327 - $6,615 102%
Kansas Superior $6,327 102%
Nhc Advantage $6,628 107%
Employer Direct Healthcare $8,436 137%
Blue Cross Blue Shield $9,641 - $11,147 156%
6 Degrees $12,051 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Carondelet Dr, Kansas City, MO 64114
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals