CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lafayette Regional Health Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $1,944
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lafayette Regional Health Center is $1,944. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.31x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,944

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%)
Insurance Median: $1,944 (31%)
Ins. Median: $1,944 (31% 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
United $1,869 - $12,989 30%
Healthyblue $1,907 31%
Medicaid / KanCare $1,925 31%
Aetna $1,944 31%
Amerigroup $1,944 31%
Home State Health Plan $1,944 31%
Unicare $1,944 31%
Nhc Advantage $4,950 80%
Corvel Corporation $8,797 142%
Oha Network $8,887 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals