CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Harrison County Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,273
Cash Discount Price: $7,030
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Harrison County Community Hospital is $6,273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,030. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.02x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$7,030

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,273

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: $7,030 (114%)

Insurance Median: $6,273 (102%)

Cash: $7,030 (114% of Medicare)

Ins. Median: $6,273 (102% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Multiplan	$584 - $8,652	9%
Cigna	$615 - $8,652	10%
Provider Partners Health Plans	$615 - $6,775	10%
Care Improvement Plus	$633 - $6,273	10%
Blue Cross Blue Shield	$658 - $9,517	11%
Allwell	$707 - $6,273	11%
Ambetter / Centene	$707 - $6,273	11%
Blue Advantage Plus	$707 - $6,273	11%
Humana	$707 - $9,734	11%
UnitedHealthcare	$707 - $9,193	11%
Wellmark	$824 - $8,652	13%
Aetna	$861 - $9,517	14%
6 Degrees Health	$892 - $8,652	14%
Healthy Blue	$6,286 - $6,307	102%
Home State	$6,286 - $6,307	102%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $7,030.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.