CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Veterans Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,846
  • Cash Discount Price: $7,750
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Veterans Memorial Hospital is $5,846. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,750. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.95x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$7,750

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,846

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: $7,750 (125%)
Insurance Median: $5,846 (95%)
Cash: $7,750 (125% of Medicare)
Ins. Median: $5,846 (95% 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
Wellmark Hmo - All Other Plans $3,797 61%
Wellmark Ppo $4,169 67%
Amerigroup Mcr Adv $5,846 95%
Humana $5,846 - $10,197 95%
Iowa Total Care Exchange $5,846 95%
Iowa Total Care Mcr Adv $5,846 95%
Medica Mcr Adv $5,846 95%
Molina Mcr Adv $5,846 95%
Quartz Mcr Adv $5,846 95%
UnitedHealthcare $5,846 - $11,557 95%
Welmark Mcr Adv $5,846 95%
Amerigroup Mcaid - All Other Plans $6,176 100%
Iowa Total Care Mcaid - All Other Plans $6,934 112%
Molina Mcaid - All Other Plans $6,934 112%
Aetna $9,082 147%
Quartz Comm - All Other Plans $10,197 165%
Medica Comm - All Other Plans $10,822 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals