CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: University of Iowa Hospital & Clinics

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,988
Cash Discount Price: $3,196
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at University of Iowa Hospital & Clinics is $2,988. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,196. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.48x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$3,196

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,988

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: $3,196 (52%)

Insurance Median: $2,988 (48%)

Cash: $3,196 (52% of Medicare)

Ins. Median: $2,988 (48% 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
Aetna	$583 - $13,869	9%
Iowa Total Care	$583 - $5,710	9%
Medical Associates	$583 - $2,478	9%
Molina Healthcare	$583	9%
UnitedHealthcare	$583 - $14,813	9%
Blue Cross Blue Shield	$595 - $5,600	10%
Healthpartners	$595 - $5,600	10%
American Health Plan	$612 - $5,764	10%
Wellpoint (Amerigroup)	$612 - $5,764	10%
Immergrun	$1,141	18%
Aplos Health Plan	$1,489	24%
Midlands Choice	$1,910 - $2,248	31%
Quad City Community Healthcare	$1,951 - $3,424	32%
Oscar Health	$2,876	47%
Great River Health Systems	$3,196	52%
Sedgwick	$3,652	59%
Global Excel	$3,880	63%
Sanford Health Plan	$3,880	63%
Employee Benefit Systems	$4,017	65%
Sisco	$4,017	65%
Healthsmart	$4,108	67%
Hfn	$4,200	68%
Multiplan	$4,200	68%

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 $3,196.
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 University of Iowa Hospital & Clinics 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.