CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercyone Dubuque Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5
Cash Discount Price: $28,479
vs. Medicare Baseline: 0.00x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercyone Dubuque Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,479. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.00x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.

Cash / Self-Pay

$28,479

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $28,479 (461%)

Insurance Median: $5 (0%)

Cash: $28,479 (461% of Medicare)

Ins. Median: $5 (0% 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
Iowa Total Care	$5,424	88%
Medicaid / KanCare	$5,477 - $5,498	89%
Aetna	$5,890	95%
Medicare (plans)	$5,890 - $6,130	95%
Blue Cross Blue Shield	$5,948	96%
UnitedHealthcare	$6,007	97%
Amish Hospital Aid	$7,993	129%
Oscar	$8,198	133%
Centivo	$9,411	152%
Ambetter / Centene	$10,096	163%
Claimdoc	$12,080	196%
Nova	$12,080	196%

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 $28,479.
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 Mercyone Dubuque Medical Center 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.