CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercyone Des Moines Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $317
  • Cash Discount Price: $2,363
  • vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercyone Des Moines Medical Center is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,363. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$2,363

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: $2,363 (38%)
Insurance Median: $317 (5%)
Cash: $2,363 (38% 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

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
Medicaid / KanCare $202 - $5,785 3%
Wc Corvel $266 4%
Aetna $275 - $5,722 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 - $5,956 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 - $5,837 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 - $9,810 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 - $5,706 5%
Wellpoint $327 5%
Amish Hospital Aid $373 - $7,766 6%
Stephenson Cty Health $375 6%
Amps $379 6%
Avera $429 7%
Medical Associates $468 8%
Ucare $503 8%
Lucent Health $505 8%
Sanford Health Plan $505 8%
Oscar $525 - $8,298 9%
Usa Managed Care $544 9%
Quiktrip $547 9%
Centivo $562 - $8,426 9%
Health Partners $573 - $780 9%
Claimdoc $586 - $11,737 9%
The Alliance $589 10%
Global Excel $634 10%
Bcn Domestic $644 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 10%
Pre-Employment $644 10%
Wc Domestic $644 10%
Velocity $659 11%
Preferred One $662 11%
Iowa Dept Of Public Health $726 - $1,182 12%
Nebraska Total Care $726 - $1,182 12%
Geha $750 12%
Allied Benefit Systems $888 14%
Auxiant $888 14%
First Choice Health $888 14%
Group Administrators $888 14%
Midlands $888 14%
Midlands Choice $888 14%
Newton Correctional Facility $943 - $1,536 15%
Meritain $1,065 17%
Genex Wc $1,088 - $1,772 18%
Multiplan $1,097 18%
Wc Align Network $1,161 - $1,890 19%
Wc Praxis Health Network $1,233 - $2,009 20%
Wc Reny Company $1,262 - $2,056 20%
Wc Velocity $1,262 - $2,056 20%
Auto Velocity $1,306 - $2,127 21%
Health Smart $1,306 - $2,127 21%
Wc O'Hara Corp $1,306 - $2,127 21%
Andrie Inc $1,451 - $2,363 23%
East Greenbush Central School District $1,451 - $2,363 23%
Healthsmart Workers Comp $1,451 - $2,363 23%
Jag Source $1,451 - $2,363 23%
New York State Insurance Fund $1,451 - $2,363 23%
Njm Insurance Group $1,451 - $2,363 23%
Rx Heatlhcomp $1,451 - $2,363 23%
Rx Restat $1,451 - $2,363 23%
Rx Saif Opdp Wc $1,451 - $2,363 23%
Rx Worker'S Comp $1,451 - $2,363 23%
Wc Accident Fund $1,451 - $2,363 23%
Wc Ace $1,451 - $2,363 23%
Wc Acs Federal Employees $1,451 - $2,363 23%
Wc Acuity $1,451 - $2,363 23%
Wc Advantage $1,451 - $2,363 23%
Wc Aegis $1,451 - $2,363 23%
Wc Aig $1,451 - $2,363 23%
Wc Aims $1,451 - $2,363 23%
Wc Alaska National Ins $1,451 - $2,363 23%
Wc Allied $1,451 - $2,363 23%
Wc Am Trust N America $1,451 - $2,363 23%
Wc American Claims Mgmt $1,451 - $2,363 23%
Wc Amerisure $1,451 - $2,363 23%
Wc Amtrust $1,451 - $2,363 23%
Wc Asu Risk Mgt $1,451 - $2,363 23%
Wc Benetech $1,451 - $2,363 23%
Wc Berkley Admin $1,451 - $2,363 23%
Wc Broadspire $1,451 - $2,363 23%
Wc Broward County $1,451 - $2,363 23%
Wc Bunch & Associates $1,451 - $2,363 23%
Wc California State Comp Ins $1,451 - $2,363 23%
Wc California State Ins Fund $1,451 - $2,363 23%
Wc Capitol Area Health Consortium $1,451 - $2,363 23%
Wc Ccmsi $1,451 - $2,363 23%
Wc Chartis $1,451 - $2,363 23%
Wc Chubb $1,451 - $2,363 23%
Wc Cirma $1,451 - $2,363 23%
Wc City Of Albany $1,451 - $2,363 23%
Wc City Of Sioux City $1,451 - $2,363 23%
Wc Claims Mgmt Inc $1,451 - $2,363 23%
Wc Cna $1,451 - $2,363 23%
Wc Comp One Admin C/O Manageability $1,451 - $2,363 23%
Wc Compone Admin $1,451 - $2,363 23%
Wc Ct Healthcare Trust $1,451 - $2,363 23%
Wc Donegal Insurance Group $1,451 - $2,363 23%
Wc Emc Insurance Company $1,451 - $2,363 23%
Wc Employee Mutual $1,451 - $2,363 23%
Wc Enablecomp $1,451 - $2,363 23%
Wc Encore Health Network $1,451 - $2,363 23%
Wc Erie $1,451 - $2,363 23%
Wc Esis $1,451 - $2,363 23%
Wc Evolutions $1,451 - $2,363 23%
Wc Fcci $1,451 - $2,363 23%
Wc Fed Ex $1,451 - $2,363 23%
Wc Federal Black Lung $1,451 - $2,363 23%
Wc Federated $1,451 - $2,363 23%
Wc Finley Occupational Health $1,451 - $2,363 23%
Wc First Agency/Occunet $1,451 - $2,363 23%
Wc Ford Motor $1,451 - $2,363 23%
Wc Fresno Unified Emp $1,451 - $2,363 23%
Wc Gallagher Bassett $1,451 - $2,363 23%
Wc General Motors $1,451 - $2,363 23%
Wc Generic $1,451 - $2,363 23%
Wc Genex Care For Ohio $1,451 - $2,363 23%
Wc Great West Casualty $1,451 - $2,363 23%
Wc Guarantee Insurance $1,451 - $2,363 23%
Wc Guard Insurance Company $1,451 - $2,363 23%
Wc Hab $1,451 - $2,363 23%
Wc Hartford $1,451 - $2,363 23%
Wc Hastings $1,451 - $2,363 23%
Wc Health Management $1,451 - $2,363 23%
Wc Heritage Summit $1,451 - $2,363 23%
Wc Hireright $1,451 - $2,363 23%
Wc Horizon $1,451 - $2,363 23%
Wc Icw Group $1,451 - $2,363 23%
Wc Idaho State Ins Fund $1,451 - $2,363 23%
Wc Intercare Insurance $1,451 - $2,363 23%
Wc Intermountain $1,451 - $2,363 23%
Wc Johns Eastern $1,451 - $2,363 23%
Wc Kemberton $1,451 - $2,363 23%
Wc Key Ins & Benefit Solutions $1,451 - $2,363 23%
Wc Liberty Mutual $1,451 - $2,363 23%
Wc Mac Risk Management $1,451 - $2,363 23%
Wc Massachusetts $1,451 - $2,363 23%
Wc Mdia $1,451 - $2,363 23%
Wc Meadowbrook Claim $1,451 - $2,363 23%
Wc Medical Administrators $1,451 - $2,363 23%
Wc Meijers $1,451 - $2,363 23%
Wc Memic $1,451 - $2,363 23%
Wc Mercy Workcare $1,451 - $2,363 23%
Wc Michigan $1,451 - $2,363 23%
Wc Michigan Millers Mutual $1,451 - $2,363 23%
Wc Mitchell Frankenmuth $1,451 - $2,363 23%
Wc Mra $1,451 - $2,363 23%
Wc Nationwide $1,451 - $2,363 23%
Wc Nca Comp $1,451 - $2,363 23%
Wc New York $1,451 - $2,363 23%
Wc New York Special Funds $1,451 - $2,363 23%
Wc North American Rishces $1,451 - $2,363 23%
Wc Northeast Health $1,451 - $2,363 23%
Wc Notre Dame $1,451 - $2,363 23%
Wc Novanet $1,451 - $2,363 23%
Wc Occ Health Allen $1,451 - $2,363 23%
Wc Ohio Bureau $1,451 - $2,363 23%
Wc One Call Medical $1,451 - $2,363 23%
Wc Paradigm $1,451 - $2,363 23%
Wc Peerless $1,451 - $2,363 23%
Wc Pma $1,451 - $2,363 23%
Wc Price Chopper $1,451 - $2,363 23%
Wc Procura Management $1,451 - $2,363 23%
Wc Qualcare $1,451 - $2,363 23%
Wc Quiktrip $1,451 - $2,363 23%
Wc Rev Claims $1,451 - $2,363 23%
Wc Risico $1,451 - $2,363 23%
Wc Rural Mutual $1,451 - $2,363 23%
Wc Saif Oregon $1,451 - $2,363 23%
Wc Secura $1,451 - $2,363 23%
Wc Sedgwick $1,451 - $2,363 23%
Wc Sentry $1,451 - $2,363 23%
Wc Sheakley Unicomp $1,451 - $2,363 23%
Wc Smile Lodge $1,451 - $2,363 23%
Wc Society $1,451 - $2,363 23%
Wc Srs $1,451 - $2,363 23%
Wc Taconic (Mro) $1,451 - $2,363 23%
Wc Taconic Farms $1,451 - $2,363 23%
Wc Travelers $1,451 - $2,363 23%
Wc Triad Group $1,451 - $2,363 23%
Wc Tristar $1,451 - $2,363 23%
Wc Troy Ny $1,451 - $2,363 23%
Wc Tyson $1,451 - $2,363 23%
Wc Unified Health Services $1,451 - $2,363 23%
Wc United Heartland $1,451 - $2,363 23%
Wc Us Dept Of Labor $1,451 - $2,363 23%
Wc Walmart $1,451 - $2,363 23%
Wc West Bend $1,451 - $2,363 23%
Wc West Bend Mutual/Argent $1,451 - $2,363 23%
Wc Winnebago Industries $1,451 - $2,363 23%
Wc Yankee Trails $1,451 - $2,363 23%
Wc York Risk $1,451 - $2,363 23%
Wc Zenith $1,451 - $2,363 23%
Wc Zurich $1,451 - $2,363 23%
Nova $11,737 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals