CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Methodist Jennie Edmundson

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,177
Cash Discount Price: $3,456
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Methodist Jennie Edmundson is $6,177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,456. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.00x the Medicare baseline. Located in 933 East Pierce Street, Council Bluffs, IA.

Cash / Self-Pay

$3,456

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,177

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: $3,456 (56%)

Insurance Median: $6,177 (100%)

Cash: $3,456 (56% of Medicare)

Ins. Median: $6,177 (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.

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
Medicare (plans)	$557 - $7,052	9%
Elite Choice - Mje	$1,066 - $12,621	17%
Ambetter / Centene	$1,161 - $12,807	19%
Blue Cross Blue Shield	$1,341 - $13,044	22%
Aetna	$1,451 - $8,463	23%
Midlands Choice	$1,468 - $9,874	24%
Medica	$3,798 - $11,093	61%
Ne Furniture Mart	$4,111 - $8,463	67%
Medica Choice	$4,468 - $13,051	72%
UnitedHealthcare	$5,362 - $8,483	87%
Humana	$6,088	99%
Wellmark	$7,139 - $7,853	116%

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 $3,456.
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 Methodist Jennie Edmundson 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.