CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercyone Newton Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,176
  • Cash Discount Price: $18,286
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercyone Newton Medical Center is $6,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,286. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.00x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$18,286

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,176

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: $18,286 (296%)
Insurance Median: $6,176 (100%)
Cash: $18,286 (296% of Medicare)
Ins. Median: $6,176 (100% 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
Aetna $5,722 93%
Medicare (plans) $5,722 - $5,956 93%
Blue Cross Blue Shield $5,780 - $6,176 94%
UnitedHealthcare $5,837 95%
Blue Benefit Administrators Of Massachusetts $6,176 100%
Blue Care Network $6,176 100%
Blue Distinction Transplant $6,176 100%
Blue Shield - Ca $6,176 100%
Blue Shield - Id (Regence) $6,176 100%
Blue Shield - Ny Highmark Northeastern $6,176 100%
Blue Shield - Ny Highmark Western $6,176 100%
Blue Shield - Pa (Highmark) $6,176 100%
Blue Shield - Wa (Regence) $6,176 100%
Iowa Total Care $6,972 113%
Medicaid / KanCare $7,041 - $7,068 114%
Amish Hospital Aid $7,766 126%
Oscar $8,298 134%
Centivo $8,426 136%
Ambetter / Centene $9,810 159%
Claimdoc $11,737 190%
Nova $11,737 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals