CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: The Children's Mercy Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,148
Cash Discount Price: $945
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at The Children's Mercy Hospital is $1,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $945. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.19x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$945

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,148

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: $945 (15%)

Insurance Median: $1,148 (19%)

Cash: $945 (15% of Medicare)

Ins. Median: $1,148 (19% 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
UnitedHealthcare	$345 - $1,268	6%
Healthy Blue	$392 - $653	6%
Home State Health	$392	6%
Medicaid / KanCare	$659	11%
Wppa Providrs Care	$767	12%
Healthlink	$818	13%
Health Midwest Comprehensive Care	$888	14%
Blue Cross Blue Shield	$912 - $1,181	15%
Quiktrip	$926	15%
American Healthcare Alliance	$943	15%
Medica	$1,148	19%
Multiplan	$1,175	19%
Aetna	$1,181 - $1,369	19%
Wellfit/Centrus	$1,227	20%
Humana	$1,228	20%
Orscheln	$1,241	20%
Nebraska Furniture Mart	$1,261	20%
Centivo	$1,264	20%
Cigna	$1,426	23%
Mercy Health	$1,437	23%
Coxhealth Network	$1,457	24%
Coventry Health Care Of Kansas	$1,492	24%
National Preferred Provider Network	$1,733	28%

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 $945.
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 The Children's Mercy 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.