CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Mercyone Waterloo Medical Center
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $317
- Cash Discount Price: $26,020
- vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercyone Waterloo Medical Center is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,020. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$26,020
Average discount available for prompt cash payment at this facility.
Insurance Median
$317
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: $26,020 (421%)
Insurance Median: $317 (5%)
Cash: $26,020 (421% of Medicare)
Ins. Median: $317 (5% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $202 - $5,871 | 3% |
| Wc Corvel | $266 | 4% |
| Aetna | $275 - $5,818 | 4% |
| Align Senior Care | $275 | 4% |
| Ally Align Care Adv | $275 | 4% |
| American Health Advantage Of Idaho | $275 | 4% |
| Aurora Special Needs | $275 | 4% |
| Blue Care Network Advantage | $275 | 4% |
| Blue Cross Blue Shield | $275 - $6,176 | 4% |
| Blue Shield - De (Highmark) Medciare Advantage | $275 | 4% |
| Care Dimensions | $275 | 4% |
| Care Improvement Plus | $275 | 4% |
| Care Resources Pace | $275 | 4% |
| Careplus Health Plans | $275 | 4% |
| Cca - Zing Health | $275 | 4% |
| Cca Senior Care Options | $275 | 4% |
| Central Valley Medical Services Corp Pace | $275 | 4% |
| Champion Health Plan Mcr Advantage | $275 | 4% |
| Cigna | $275 - $888 | 4% |
| Clear Spring Health | $275 | 4% |
| Clover Health | $275 | 4% |
| Commonwealth Care Alliance | $275 | 4% |
| Community Pace At Home | $275 | 4% |
| Eddy Senior Care-Pace | $275 | 4% |
| Eddy Seniorcare Pace | $275 | 4% |
| Elementcare | $275 | 4% |
| Evercare | $275 | 4% |
| Everence | $275 | 4% |
| Gateway Health Plan | $275 | 4% |
| Genesys Pace Of Genesee County | $275 | 4% |
| Georgia Health Advantage | $275 | 4% |
| Gold Advantage | $275 | 4% |
| Gpa Croell Redi Mix | $275 | 4% |
| Health America Advantra | $275 | 4% |
| Highmark Health Options Dual Plan | $275 | 4% |
| Hope Select Pace | $275 | 4% |
| Horizon Nj Total Care | $275 | 4% |
| Hudson Headwaters Pace | $275 | 4% |
| Humana | $275 - $449 | 4% |
| Huron Valley Pace | $275 | 4% |
| Innovative Integrated Health Community Plans | $275 | 4% |
| Johns Hopkins Advantage Md | $275 | 4% |
| Lasso Healthcare Msa | $275 | 4% |
| Life St Marys Pace | $275 | 4% |
| Lifecircles Pace | $275 | 4% |
| Longevity Health Plan | $275 | 4% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $275 | 4% |
| Martins Point Generations Advantage | $275 | 4% |
| Mass General Brigham Mcr Adv | $275 | 4% |
| Medicare (plans) | $275 - $5,928 | 4% |
| Medipak Advantage | $275 | 4% |
| Mercy Life | $275 | 4% |
| Mercyone Cedar Valley | $275 | 4% |
| Meridian Complete | $275 | 4% |
| Michigan Complete Health | $275 | 4% |
| Nascentia Health Plus | $275 | 4% |
| New Centry Health Careplus | $275 | 4% |
| Osu Prime Care Advantage | $275 | 4% |
| Pace Cny | $275 | 4% |
| Pace Iowa Immanuel Pathways | $275 | 4% |
| Pace Of Southwest Michigan | $275 - $317 | 4% |
| Pace Southeast | $275 | 4% |
| Pace-Trinity Health | $275 | 4% |
| Peak Pace Solutions | $275 | 4% |
| Perennial Advantage | $275 | 4% |
| Preferred Care Partners | $275 | 4% |
| Presbyterian Senior Plan | $275 | 4% |
| Provider Partners Health Plan Of Illinois | $275 | 4% |
| Provider Partners Health Plan Of Indiana | $275 | 4% |
| Pruitthealth Premier | $275 | 4% |
| Reliance Community Care Partners Care Resources Pace | $275 | 4% |
| Rx Allwin | $275 | 4% |
| Rx Grane Grnmedd | $275 | 4% |
| Rx Retiree Rx Care | $275 | 4% |
| Scan Health Plan Mcr Ipa Meritage Oon | $275 | 4% |
| Secure Horizons Ma Pffs | $275 | 4% |
| Serenity Pace | $275 | 4% |
| Siouxland Pace | $275 | 4% |
| Solis Health Plans | $275 | 4% |
| Sunnyview-Pace Finance Dept | $275 | 4% |
| Texan Plus | $275 | 4% |
| The Health Plan | $275 | 4% |
| Thome Pace | $275 | 4% |
| Todays Options | $275 | 4% |
| Tribute Health Plans | $275 | 4% |
| Um Health Advantage | $275 | 4% |
| Union Health Service | $275 | 4% |
| UnitedHealthcare | $275 - $5,809 | 4% |
| Welbe Health | $275 | 4% |
| Wellmed | $275 | 4% |
| Veterans Administration | $280 | 5% |
| American Health Plan | $289 | 5% |
| Iowa Health Advantage | $289 | 5% |
| Champva | $292 | 5% |
| Tricare | $292 | 5% |
| Triwest Health Alliance | $292 | 5% |
| Us Family Health Plan | $292 | 5% |
| Veterans Eval Services | $292 | 5% |
| Albany County Correctional Facility | $317 | 5% |
| Ambetter / Centene | $317 - $9,764 | 5% |
| Amish Mennonite | $317 | 5% |
| Ascension St. Vincent Public Safety Medical | $317 | 5% |
| Bcccp-Michigan | $317 | 5% |
| Bccp | $317 | 5% |
| Bmc Healthnet | $317 | 5% |
| Breast Grant-Connecticut | $317 | 5% |
| Broward County Dept Of Health | $317 | 5% |
| California Health And Wellness | $317 | 5% |
| Can Community Health Inc | $317 | 5% |
| Cardinal Innovations Lme | $317 | 5% |
| Care Connections Of Northern Iowa | $317 | 5% |
| Care Oregon Ohp | $317 | 5% |
| Cencal Health Plan | $317 | 5% |
| Cenpatico | $317 | 5% |
| Chhuny | $317 | 5% |
| Childrens Comm Health Plan | $317 | 5% |
| Childrens Medical Services Title 19 | $317 | 5% |
| City Of Philadelphia | $317 | 5% |
| Cmh Allegan County | $317 | 5% |
| Cmh Ausable Valley | $317 | 5% |
| Cmh Barry County | $317 | 5% |
| Cmh Bay-Arenac County | $317 | 5% |
| Cmh Berrien County | $317 | 5% |
| Cmh Cass County | $317 | 5% |
| Cmh Central Mi County | $317 | 5% |
| Cmh Clinton-Eaton-Ingham County | $317 | 5% |
| Cmh Detroit Wayne Integrated Health Network | $317 | 5% |
| Cmh Genesee County | $317 | 5% |
| Cmh Ionia County | $317 | 5% |
| Cmh Jackson County/Lifeways | $317 | 5% |
| Cmh Kalamazoo | $317 | 5% |
| Cmh Kent County | $317 | 5% |
| Cmh Lenawee County | $317 | 5% |
| Cmh Livingston County | $317 | 5% |
| Cmh Macomb | $317 | 5% |
| Cmh Misc | $317 | 5% |
| Cmh Monroe County | $317 | 5% |
| Cmh Montcalm County | $317 | 5% |
| Cmh Muskegon County | $317 | 5% |
| Cmh Newaygo County | $317 | 5% |
| Cmh North Country | $317 | 5% |
| Cmh Northern Lakes County | $317 | 5% |
| Cmh Oakland County | $317 | 5% |
| Cmh Ottawa County | $317 | 5% |
| Cmh Van Buren County | $317 | 5% |
| Cmh Washtenaw County | $317 | 5% |
| Cmh Wayne County/Carelink | $317 | 5% |
| Cmh Wayne Cty/Com Liv Svcs | $317 | 5% |
| Cmh West Mi County | $317 | 5% |
| Community Benefit Health | $317 | 5% |
| Community Care Behavorial Health | $317 | 5% |
| Community Care Partners | $317 | 5% |
| Community Health Choice | $317 | 5% |
| Connections Csp | $317 | 5% |
| County Coroner | $317 | 5% |
| County Funding Generic | $317 | 5% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $317 | 5% |
| Dean Wi Badgercare | $317 | 5% |
| Delaware County Department Of Health | $317 | 5% |
| Delaware First Health | $317 | 5% |
| Delta Dental Nj | $317 | 5% |
| Dph Tb Program | $317 | 5% |
| Dscc | $317 | 5% |
| Eastpointe Lme | $317 | 5% |
| Family Health Network | $317 | 5% |
| Freedom First Healthcare | $317 | 5% |
| Fresno County Ccs | $317 | 5% |
| Ghc Scw Wi Badgercare | $317 | 5% |
| Harbor Health | $317 | 5% |
| Health Safety Net | $317 | 5% |
| Healthy Blue Ne | $317 | 5% |
| Hennepin Health | $317 | 5% |
| Id County Ada | $317 | 5% |
| Id County Canyon | $317 | 5% |
| Id County Cat Fund | $317 | 5% |
| Id County Other | $317 | 5% |
| Id County Payette | $317 | 5% |
| Idaho Dept Health And Wellfare | $317 | 5% |
| Idaho Womens Health Check | $317 | 5% |
| Indiana Breast Cervical Cancer | $317 | 5% |
| Inland Empire Health Plan | $317 | 5% |
| Intercommunity Health Ohp | $317 | 5% |
| Jai Medical System | $317 | 5% |
| Kern Family Health Plan | $317 | 5% |
| Keystone First | $317 | 5% |
| Keystone First Chip | $317 | 5% |
| La Care Health Plan | $317 | 5% |
| Lakeland Care Inc | $317 | 5% |
| Managed Health Services - Indiana | $317 | 5% |
| Maryland Breast & Cervical Program | $317 | 5% |
| Maryland Healthy Smiles - Scion Dental | $317 | 5% |
| Maryland Physicians Care | $317 | 5% |
| Massachusetts Behavioral Health Partnership | $317 | 5% |
| Mdwise | $317 | 5% |
| Medi-Cal | $317 | 5% |
| Medi-Cal Healthnet | $317 | 5% |
| Medstar Dc Healthy Family | $317 | 5% |
| Medstar Md Health Choice | $317 | 5% |
| Mo Home State Health Plan | $317 | 5% |
| Molina Centennial Care | $317 | 5% |
| Nascentia Health Options | $317 | 5% |
| New York Cancer Services Program | $317 | 5% |
| Nextlevel Health | $317 | 5% |
| Oregon Screenwise | $317 | 5% |
| Paramount Advantage | $317 | 5% |
| Parkland Community Health Plan | $317 | 5% |
| Partners Behavioral Lme | $317 | 5% |
| Peach State Healthplan | $317 | 5% |
| Philadelphia County Funding | $317 | 5% |
| Presbyterian Centennial Care | $317 | 5% |
| Prestige Health Choice | $317 | 5% |
| Priority Partners | $317 | 5% |
| Robert F Sing Program | $317 | 5% |
| Rx 340B Pass Along | $317 | 5% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $317 | 5% |
| Rx Medi-Cal | $317 | 5% |
| Rx Meridian Rx | $317 | 5% |
| Ryan White Florida Mssrp | $317 | 5% |
| Sandhills Center Lme | $317 | 5% |
| Screening For Life | $317 | 5% |
| St Joseph County Hlth Dpt | $317 | 5% |
| Sunshine State Health Plan | $317 | 5% |
| Superior Health | $317 | 5% |
| Tenncare | $317 | 5% |
| Texas Children'S Health Plan | $317 | 5% |
| Trillium Community Ohp | $317 | 5% |
| Tufts Health Public Plans | $317 | 5% |
| Vaya Health Lme | $317 | 5% |
| Washtenaw Health Plan | $317 | 5% |
| Wellsense Health Plan | $317 | 5% |
| Wi Womens Wellness | $317 | 5% |
| Iowa Total Care | $323 - $5,792 | 5% |
| Wellpoint | $327 | 5% |
| Amish Hospital Aid | $373 - $7,730 | 6% |
| Stephenson Cty Health | $375 | 6% |
| Amps | $379 | 6% |
| Avera | $429 | 7% |
| Medical Associates | $468 | 8% |
| Ucare | $503 | 8% |
| Lucent Health | $505 - $5,818 | 8% |
| Sanford Health Plan | $505 | 8% |
| Health Smart | $519 | 8% |
| Oscar | $525 - $8,919 | 9% |
| Usa Managed Care | $544 | 9% |
| Quiktrip | $547 | 9% |
| Centivo | $562 - $9,648 | 9% |
| Health Partners | $573 - $709 | 9% |
| Claimdoc | $586 - $11,682 | 9% |
| The Alliance | $589 | 10% |
| Global Excel | $634 | 10% |
| Bcn Domestic | $644 - $6,176 | 10% |
| Blue Benefit Administrators Of Massachusetts | $644 - $6,176 | 10% |
| Blue Care Network | $644 - $6,176 | 10% |
| Blue Distinction Transplant | $644 - $6,176 | 10% |
| Blue Shield - Ca | $644 - $6,176 | 10% |
| Blue Shield - Id (Regence) | $644 - $6,176 | 10% |
| Blue Shield - Ny Highmark Northeastern | $644 - $6,176 | 10% |
| Blue Shield - Ny Highmark Western | $644 - $6,176 | 10% |
| Blue Shield - Pa (Highmark) | $644 - $6,176 | 10% |
| Blue Shield - Wa (Regence) | $644 - $6,176 | 10% |
| Health Choices | $644 - $888 | 10% |
| Kaiser Domestic | $644 - $6,176 | 10% |
| Pre-Employment | $644 - $6,176 | 10% |
| Wc Domestic | $644 - $6,176 | 10% |
| Velocity | $659 | 11% |
| Preferred One | $662 | 11% |
| Geha | $750 | 12% |
| Allied Benefit Systems | $888 - $5,818 | 14% |
| Auxiant | $888 | 14% |
| First Choice Health | $888 | 14% |
| Group Administrators | $888 | 14% |
| Midlands | $888 | 14% |
| Midlands Choice | $888 | 14% |
| Multiplan | $888 | 14% |
| Meritain | $1,065 - $5,818 | 17% |
| Iowa Dept Of Public Health | $1,182 | 19% |
| Nebraska Total Care | $1,182 | 19% |
| Newton Correctional Facility | $1,536 | 25% |
| Genex Wc | $1,772 | 29% |
| Wc Align Network | $1,890 | 31% |
| Wc Praxis Health Network | $2,009 | 33% |
| Wc Reny Company | $2,056 | 33% |
| Wc Velocity | $2,056 | 33% |
| Auto Velocity | $2,127 | 34% |
| Wc O'Hara Corp | $2,127 | 34% |
| Andrie Inc | $2,363 | 38% |
| East Greenbush Central School District | $2,363 | 38% |
| Healthsmart Workers Comp | $2,363 | 38% |
| Jag Source | $2,363 | 38% |
| New York State Insurance Fund | $2,363 | 38% |
| Njm Insurance Group | $2,363 | 38% |
| Rx Heatlhcomp | $2,363 | 38% |
| Rx Restat | $2,363 | 38% |
| Rx Saif Opdp Wc | $2,363 | 38% |
| Rx Worker'S Comp | $2,363 | 38% |
| Wc Accident Fund | $2,363 | 38% |
| Wc Ace | $2,363 | 38% |
| Wc Acs Federal Employees | $2,363 | 38% |
| Wc Acuity | $2,363 | 38% |
| Wc Advantage | $2,363 | 38% |
| Wc Aegis | $2,363 | 38% |
| Wc Aig | $2,363 | 38% |
| Wc Aims | $2,363 | 38% |
| Wc Alaska National Ins | $2,363 | 38% |
| Wc Allied | $2,363 | 38% |
| Wc Am Trust N America | $2,363 | 38% |
| Wc American Claims Mgmt | $2,363 | 38% |
| Wc Amerisure | $2,363 | 38% |
| Wc Amtrust | $2,363 | 38% |
| Wc Asu Risk Mgt | $2,363 | 38% |
| Wc Benetech | $2,363 | 38% |
| Wc Berkley Admin | $2,363 | 38% |
| Wc Broadspire | $2,363 | 38% |
| Wc Broward County | $2,363 | 38% |
| Wc Bunch & Associates | $2,363 | 38% |
| Wc California State Comp Ins | $2,363 | 38% |
| Wc California State Ins Fund | $2,363 | 38% |
| Wc Capitol Area Health Consortium | $2,363 | 38% |
| Wc Ccmsi | $2,363 | 38% |
| Wc Chartis | $2,363 | 38% |
| Wc Chubb | $2,363 | 38% |
| Wc Cirma | $2,363 | 38% |
| Wc City Of Albany | $2,363 | 38% |
| Wc City Of Sioux City | $2,363 | 38% |
| Wc Claims Mgmt Inc | $2,363 | 38% |
| Wc Cna | $2,363 | 38% |
| Wc Comp One Admin C/O Manageability | $2,363 | 38% |
| Wc Compone Admin | $2,363 | 38% |
| Wc Ct Healthcare Trust | $2,363 | 38% |
| Wc Donegal Insurance Group | $2,363 | 38% |
| Wc Emc Insurance Company | $2,363 | 38% |
| Wc Employee Mutual | $2,363 | 38% |
| Wc Enablecomp | $2,363 | 38% |
| Wc Encore Health Network | $2,363 | 38% |
| Wc Erie | $2,363 | 38% |
| Wc Esis | $2,363 | 38% |
| Wc Evolutions | $2,363 | 38% |
| Wc Fcci | $2,363 | 38% |
| Wc Fed Ex | $2,363 | 38% |
| Wc Federal Black Lung | $2,363 | 38% |
| Wc Federated | $2,363 | 38% |
| Wc Finley Occupational Health | $2,363 | 38% |
| Wc First Agency/Occunet | $2,363 | 38% |
| Wc Ford Motor | $2,363 | 38% |
| Wc Fresno Unified Emp | $2,363 | 38% |
| Wc Gallagher Bassett | $2,363 | 38% |
| Wc General Motors | $2,363 | 38% |
| Wc Generic | $2,363 | 38% |
| Wc Genex Care For Ohio | $2,363 | 38% |
| Wc Great West Casualty | $2,363 | 38% |
| Wc Guarantee Insurance | $2,363 | 38% |
| Wc Guard Insurance Company | $2,363 | 38% |
| Wc Hab | $2,363 | 38% |
| Wc Hartford | $2,363 | 38% |
| Wc Hastings | $2,363 | 38% |
| Wc Health Management | $2,363 | 38% |
| Wc Heritage Summit | $2,363 | 38% |
| Wc Hireright | $2,363 | 38% |
| Wc Horizon | $2,363 | 38% |
| Wc Icw Group | $2,363 | 38% |
| Wc Idaho State Ins Fund | $2,363 | 38% |
| Wc Intercare Insurance | $2,363 | 38% |
| Wc Intermountain | $2,363 | 38% |
| Wc Johns Eastern | $2,363 | 38% |
| Wc Kemberton | $2,363 | 38% |
| Wc Key Ins & Benefit Solutions | $2,363 | 38% |
| Wc Liberty Mutual | $2,363 | 38% |
| Wc Mac Risk Management | $2,363 | 38% |
| Wc Massachusetts | $2,363 | 38% |
| Wc Mdia | $2,363 | 38% |
| Wc Meadowbrook Claim | $2,363 | 38% |
| Wc Medical Administrators | $2,363 | 38% |
| Wc Meijers | $2,363 | 38% |
| Wc Memic | $2,363 | 38% |
| Wc Mercy Workcare | $2,363 | 38% |
| Wc Michigan | $2,363 | 38% |
| Wc Michigan Millers Mutual | $2,363 | 38% |
| Wc Mitchell Frankenmuth | $2,363 | 38% |
| Wc Mra | $2,363 | 38% |
| Wc Nationwide | $2,363 | 38% |
| Wc Nca Comp | $2,363 | 38% |
| Wc New York | $2,363 | 38% |
| Wc New York Special Funds | $2,363 | 38% |
| Wc North American Rishces | $2,363 | 38% |
| Wc Northeast Health | $2,363 | 38% |
| Wc Notre Dame | $2,363 | 38% |
| Wc Novanet | $2,363 | 38% |
| Wc Occ Health Allen | $2,363 | 38% |
| Wc Ohio Bureau | $2,363 | 38% |
| Wc One Call Medical | $2,363 | 38% |
| Wc Paradigm | $2,363 | 38% |
| Wc Peerless | $2,363 | 38% |
| Wc Pma | $2,363 | 38% |
| Wc Price Chopper | $2,363 | 38% |
| Wc Procura Management | $2,363 | 38% |
| Wc Qualcare | $2,363 | 38% |
| Wc Quiktrip | $2,363 | 38% |
| Wc Rev Claims | $2,363 | 38% |
| Wc Risico | $2,363 | 38% |
| Wc Rural Mutual | $2,363 | 38% |
| Wc Saif Oregon | $2,363 | 38% |
| Wc Secura | $2,363 | 38% |
| Wc Sedgwick | $2,363 | 38% |
| Wc Sentry | $2,363 | 38% |
| Wc Sheakley Unicomp | $2,363 | 38% |
| Wc Smile Lodge | $2,363 | 38% |
| Wc Society | $2,363 | 38% |
| Wc Srs | $2,363 | 38% |
| Wc Taconic (Mro) | $2,363 | 38% |
| Wc Taconic Farms | $2,363 | 38% |
| Wc Travelers | $2,363 | 38% |
| Wc Triad Group | $2,363 | 38% |
| Wc Tristar | $2,363 | 38% |
| Wc Troy Ny | $2,363 | 38% |
| Wc Tyson | $2,363 | 38% |
| Wc Unified Health Services | $2,363 | 38% |
| Wc United Heartland | $2,363 | 38% |
| Wc Us Dept Of Labor | $2,363 | 38% |
| Wc Walmart | $2,363 | 38% |
| Wc West Bend | $2,363 | 38% |
| Wc West Bend Mutual/Argent | $2,363 | 38% |
| Wc Winnebago Industries | $2,363 | 38% |
| Wc Yankee Trails | $2,363 | 38% |
| Wc York Risk | $2,363 | 38% |
| Wc Zenith | $2,363 | 38% |
| Wc Zurich | $2,363 | 38% |
| Asr Health Benefits | $5,818 | 94% |
| Christian Brother Services | $5,818 | 94% |
| Coventry | $5,818 | 94% |
| First Health | $5,818 | 94% |
| Luminare Health | $5,818 | 94% |
| Medical Mutual | $5,818 | 94% |
| Webtpa | $5,818 | 94% |
| Nova | $11,682 | 189% |