CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Hospital Southeast

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,641
  • Cash Discount Price: $21,820
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Southeast is $5,641. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,820. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.91x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$21,820

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,641

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: $21,820 (353%)
Insurance Median: $5,641 (91%)
Cash: $21,820 (353% of Medicare)
Ins. Median: $5,641 (91% 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 - $32,352 10%
Indian Health Service Contracted [320198] $603 10%
Imagine 360 Contracted [320494] $3,686 60%
Medicaid / KanCare $4,974 - $8,953 81%
Aetna $5,479 89%
Cross Timbers Hospice [20098] $5,479 89%
Dept Of Veteran Affairs Contracted [320106] $5,479 89%
Elara Caring Aspire Hospice Contracted [320433] $5,479 89%
Elara Caring Aspire Hospice [20433] $5,479 89%
Halo Hcr Inc Hospice Contracted [320432] $5,479 89%
Halo Hcr Inc Hospice [20432] $5,479 89%
Humana $5,479 89%
Kindful Hospice Contracted [320434] $5,479 89%
Kindful Hospice [20434] $5,479 89%
Medicare (plans) $5,479 - $5,758 89%
Mercy Hospice Okc [20252] $5,479 89%
Pace Of The Ozarks Contracted [320518] $5,479 89%
Tricare $5,479 89%
Ambetter / Centene $5,585 90%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $5,585 90%
Home State Health Plan Contracted [320187] $5,585 90%
Hope Trust Contracted [320488] $5,585 90%
UnitedHealthcare $5,585 - $37,622 90%
Provider Partners Health Plans Contracted [320450] $6,301 102%
Consociate Consolidated Health Contracted [320490] $7,670 - $12,327 124%
Auxiant Contracted [320462] $9,215 - $10,957 149%
Centivo Contracted [320505] $9,215 149%
Ebms Contracted [320493] $9,215 149%
Healthlink Contracted [320179] $9,215 - $12,327 149%
Mercy Benefit Admin Contracted [320251] $9,215 149%
Reflect Health Contracted [320492] $9,550 155%
Preferred Health Plan Contracted [320522] $9,773 158%
Cigna $14,290 231%
United Medical Resources Contracted [320454] $37,622 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals