CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $1,343
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Southeast Iowa Regional Medical Center is $1,343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.22x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,343

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%)
Insurance Median: $1,343 (22%)
Ins. Median: $1,343 (22% 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
American Healthplan Of Iowa - Midlevel $489 8%
Medicaid / KanCare $539 - $634 9%
Humana $601 10%
American Healthplan Of Iowa - Md $617 10%
Plain Church $1,011 16%
Elap $1,087 - $1,553 18%
Aetna $1,104 18%
Blue Cross Blue Shield $1,287 - $9,076 21%
Absolute Solutions $1,400 23%
First Agency $1,400 23%
Multiplan $1,400 23%
Midlands Choice $1,460 24%
Henderson County $1,477 24%
UnitedHealthcare $1,501 24%
Immergrun $3,891 63%
6 Degree $4,941 80%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals