CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,444
  • Cash Discount Price: $8,577
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Oklahoma City, Inc is $5,444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,577. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.88x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$8,577

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,444

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: $8,577 (139%)
Insurance Median: $5,444 (88%)
Cash: $8,577 (139% of Medicare)
Ins. Median: $5,444 (88% 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
Medicaid / KanCare $363 - $7,492 6%
Blue Cross Blue Shield $615 - $5,834 10%
Tricare $5,167 - $5,444 84%
Aetna $5,196 - $5,444 84%
Humana $5,196 - $5,444 84%
Champva [20065] $5,444 88%
Cherokee Nation Health Serv Contracted [320066] $5,444 88%
Cross Timbers Hospice [20098] $5,444 88%
Dept Of Veteran Affairs Contracted [320106] $5,444 88%
Elara Caring Aspire Hospice Contracted [320433] $5,444 88%
Elara Caring Aspire Hospice [20433] $5,444 88%
Halo Hcr Inc Hospice Contracted [320432] $5,444 88%
Halo Hcr Inc Hospice [20432] $5,444 88%
Indian Health Service Contracted [320198] $5,444 88%
Kindful Hospice Contracted [320434] $5,444 88%
Kindful Hospice [20434] $5,444 88%
Medicare (plans) $5,444 - $5,827 88%
Mercy Hospice Okc [20252] $5,444 88%
Mercy Rehab Hospital Contracted [320260] $5,444 88%
Provider Partners Health Plans Contracted [320450] $5,444 88%
Qual Choice Contracted [320325] $5,444 88%
UnitedHealthcare $5,444 88%
Globalhealth Contracted [320145] $5,555 90%
Cigna $5,611 91%
Amg Spec Hosp Edmond [20034] $5,827 94%
Ambetter / Centene $7,492 121%
Home State Health Plan Contracted [320187] $7,492 121%
Novasys Contracted [320285] $7,492 121%
Community Care Contracted [320080] $8,325 135%
Workers Comp [20426] $9,103 147%
Health Choice Contracted [320166] $10,502 170%
Healthsmart Preferred Care Contracted [320184] $12,250 198%
Kempton Contracted [320214] $12,250 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4300 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals