CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Butler County Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $19,535
Cash Discount Price: $20,249
vs. Medicare Baseline: 3.16x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Butler County Health is $19,535. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,249. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 3.16x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.

Cash / Self-Pay

$20,249

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,535

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: $20,249 (328%)

Insurance Median: $19,535 (316%)

Cash: $20,249 (328% of Medicare)

Ins. Median: $19,535 (316% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 316% of the Medicare baseline (a markup of 216%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$12,144 - $12,559	197%
Ambetter / Centene	$18,914 - $19,559	306%
Blue Cross Blue Shield	$18,914 - $23,359	306%
Multiplan	$18,914 - $19,559	306%
Nebraska Total Care	$18,914 - $19,559	306%
Aetna	$19,292 - $19,950	312%
Cigna	$19,511 - $20,176	316%
Corvel	$19,511 - $20,176	316%
Medica	$19,511 - $20,176	316%
Midlands Choice	$19,511 - $20,176	316%
Three Rivers	$19,511 - $20,176	316%
UnitedHealthcare	$19,511 - $20,176	316%

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 $20,249.
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 Butler County Health 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.