CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Madison County Health Care System

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$960

about 0.2× the $6,176 Medicare rate · typically $567–$2,229

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,075

About the fair price

about $115 over the fair price · 0.2× Medicare

Medicare pays $6,176 Fair price $960 This hospital $1,075 Cash price $5,303 Hospital's list price $6,629

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 6 of 8 other IA hospitals charge less.

Cheapest $838 Priciest $1,179

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Gallbladder removal (laparoscopic) is about $960 (about 0.2× the $6,176 Medicare rate). Madison County Health Care System charges insurers about $1,075, or about $5,303 in cash — about the fair price. Located in Winterset, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$561 - $10,336	9%
Blue Cross Blue Shieldmajor	$1,180 - $9,127	19%
Aetnamajor	$561 - $7,465	9%
Amerigroup	$1,879 - $5,722	30%
Molina	$1,817 - $5,587	29%
Oscar Health	$971 - $7,408	16%
+ 14 smaller / regional plans	$561 - $11,485

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,303), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Madison County Health Care System is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Madison County Health Care System

Compare: Gallbladder removal (laparoscopic) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.