CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Mercy Hospital Carthage
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $1,451
- Cash Discount Price: $6,036
- vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Carthage is $1,451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,036. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.23x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.
Cash / Self-Pay
$6,036
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,451
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: $6,036 (98%)
Insurance Median: $1,451 (23%)
Cash: $6,036 (98% of Medicare)
Ins. Median: $1,451 (23% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $601 - $7,659 | 10% |
| Centivo Contracted [320505] | $656 | 11% |
| Medicaid / KanCare | $662 - $7,590 | 11% |
| Medicare (plans) | $670 - $5,461 | 11% |
| Blue Cross Blue Shield | $702 - $5,471 | 11% |
| Aetna | $741 - $5,196 | 12% |
| Cigna | $741 - $971 | 12% |
| Globalhealth Contracted [320145] | $741 | 12% |
| Humana | $741 - $5,196 | 12% |
| Medical Associates Health Contracted [320444] | $741 | 12% |
| Pace Of The Ozarks Contracted [320518] | $741 | 12% |
| Provider Partners Health Plans Contracted [320450] | $741 | 12% |
| Qual Choice Contracted [320325] | $741 | 12% |
| Cherokee Nation Health Serv Contracted [320066] | $751 | 12% |
| Cross Timbers Hospice [20098] | $751 | 12% |
| Elara Caring Aspire Hospice [20433] | $751 | 12% |
| Halo Hcr Inc Hospice Contracted [320432] | $751 | 12% |
| Halo Hcr Inc Hospice [20432] | $751 | 12% |
| Indian Health Service Contracted [320198] | $751 | 12% |
| Kindful Hospice Contracted [320434] | $751 | 12% |
| Kindful Hospice [20434] | $751 | 12% |
| Mercy Hospice Okc [20252] | $751 | 12% |
| Mercy Mgd Behavioral Health Contracted [320259] | $751 | 12% |
| Tricare | $754 | 12% |
| Dept Of Veteran Affairs Contracted [320106] | $755 | 12% |
| Point C Contracted [320238] | $838 - $6,018 | 14% |
| Healthlink Contracted [320179] | $897 - $2,324 | 15% |
| Ambetter / Centene | $922 | 15% |
| Home State Health Plan Contracted [320187] | $922 | 15% |
| Novasys Contracted [320285] | $922 | 15% |
| First Health Contracted [320128] | $1,026 | 17% |
| Multiplan Contracted [320270] | $1,108 | 18% |
| Private Health Care Systems Contracted [320320] | $1,108 | 18% |
| Health Systems Inc Contracted [320174] | $1,176 - $2,390 | 19% |
| Insurance System Inc Contracted [320465] | $1,176 - $2,390 | 19% |
| Administrative Payor Contracted [320005] | $1,230 | 20% |
| Healthscope Contracted [320182] | $1,424 | 23% |
| United Medical Resources Contracted [320454] | $1,451 - $2,461 | 23% |
| Benefit Management Contracted [320052] | $1,640 - $2,379 | 27% |
| Auxiant Contracted [320462] | $1,777 - $2,324 | 29% |
| Preferred Health Plan Contracted [320522] | $1,777 | 29% |
| American Healthcare Alliance Contracted [320020] | $1,914 | 31% |
| Workers Comp [20426] | $2,187 - $2,734 | 35% |
| Aither Health Contracted [320449] | $2,324 | 38% |
| Ebms Contracted [320493] | $2,324 | 38% |
| Edison Health Solutions Contracted [320502] | $2,324 | 38% |
| Imagine 360 Contracted [320494] | $2,324 | 38% |
| Mercy Benefit Admin Contracted [320251] | $2,324 - $2,461 | 38% |
| Reflect Health Contracted [320492] | $2,324 | 38% |
| Show-Me Health Administrators Contracted [320483] | $2,324 | 38% |
| Yuzu Health Contracted [320521] | $2,324 | 38% |
| Evolutions Health Care Contracted [320124] | $2,379 | 39% |
| Ppo Plus Contracted [320310] | $2,461 | 40% |
| Usa Managed Care Org Contracted [320429] | $2,461 | 40% |
| Health Choice Contracted [320166] | $11,669 | 189% |