CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Franklin General Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $964
Cash Discount Price: $2,066
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Franklin General Hospital is $964. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,066. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.16x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$2,066

Average discount available for prompt cash payment at this facility.

Insurance Median

$964

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: $2,066 (33%)

Insurance Median: $964 (16%)

Cash: $2,066 (33% of Medicare)

Ins. Median: $964 (16% 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
Medical Associates Mcare	$239	4%
Mount Carmel Hp-All Plans	$239	4%
Tricare	$239	4%
Amerigroup Mcare	$241	4%
Molina Mcare	$248	4%
Ambetter / Centene	$251 - $960	4%
American Hp Iowa - All Plans	$251	4%
Centivo - All Plans	$358	6%
Oscar - All Plans	$358	6%
Wellmark Mcr Adv	$927	15%
Amerigroup Mcaid - All Other Plans	$969	16%
Molina Mcaid - All Other Plans	$974	16%
Medical Ass Hosp Employer Group	$1,377	22%
Midlands Choice-All Plans	$1,606	26%
Medical Associates Hp-All Other Plans	$1,951	32%
Preferred Health Choices-All Plans	$1,951	32%
Splashlight Llc-All Plans	$1,951	32%
Aetna	$2,134 - $2,180	35%
Multiplan-All Plans	$2,180	35%
Wellmark Hmo	$8,297	134%
Wellmark Ppo - All Other Plans	$9,127	148%

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 $2,066.
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 Franklin General Hospital 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.