CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Hospital Ardmore, Inc

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,831
  • Cash Discount Price: $10,045
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Hospital Ardmore, Inc is $5,831. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,045. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.94x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$10,045

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,831

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: $10,045 (163%)
Insurance Median: $5,831 (94%)
Cash: $10,045 (163% of Medicare)
Ins. Median: $5,831 (94% 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
Blue Cross Blue Shield $615 - $5,834 10%
Aetna $5,196 - $5,831 84%
Humana $5,196 - $5,944 84%
Medicaid / KanCare $5,196 - $8,024 84%
Cherokee Nation Health Serv Contracted [320066] $5,831 94%
Cross Timbers Hospice [20098] $5,831 94%
Dept Of Veteran Affairs Contracted [320106] $5,831 94%
Elara Caring Aspire Hospice Contracted [320433] $5,831 94%
Elara Caring Aspire Hospice [20433] $5,831 94%
Halo Hcr Inc Hospice Contracted [320432] $5,831 94%
Halo Hcr Inc Hospice [20432] $5,831 94%
Independent Health [20197] $5,831 94%
Indian Health Service Contracted [320198] $5,831 94%
Kindful Hospice Contracted [320434] $5,831 94%
Kindful Hospice [20434] $5,831 94%
Medical Associates Health [20444] $5,831 94%
Medicare (plans) $5,831 - $6,182 94%
Mercy Hospice Okc [20252] $5,831 94%
Provider Partners Health Plans Contracted [320450] $5,831 94%
Qual Choice Contracted [320325] $5,831 94%
Tribute Health Plan Mcr Contracted [320338] $5,831 94%
Tricare $5,831 94%
UnitedHealthcare $5,944 96%
Globalhealth Contracted [320145] $5,950 96%
Cigna $6,009 97%
Ambetter / Centene $8,024 130%
Home State Health Plan Contracted [320187] $8,024 130%
Novasys Contracted [320285] $8,024 130%
Community Care Contracted [320080] $8,916 144%
Workers Comp [20426] $9,103 147%
Health Choice Contracted [320166] $11,669 189%
Healthsmart Preferred Care Contracted [320184] $13,120 212%
Kempton Contracted [320214] $13,120 212%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1011 14Th Ave Nw, Ardmore, OK 73401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals