CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Madison County Health Care System

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $4,939
  • Cash Discount Price: $5,303
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Madison County Health Care System is $4,939. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,303. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.80x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$5,303

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,939

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: $5,303 (86%)
Insurance Median: $4,939 (80%)
Cash: $5,303 (86% of Medicare)
Ins. Median: $4,939 (80% 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
Aetna $561 - $7,465 9%
Choicecare-All Plans $561 - $10,911 9%
Medical Associates Hp - All Plans $561 - $4,939 9%
Medigold-All Plans $561 - $4,939 9%
Medimore Employee Hp - All Plans $561 - $11,255 9%
Tricare $561 - $4,939 9%
UnitedHealthcare $561 - $10,336 9%
American Hp Mcr Adv-All Plans $589 - $5,185 10%
Madison County Sheriff-All Plans $886 - $5,742 14%
Oscar - All Plans $971 - $7,408 16%
Blue Cross Blue Shield $1,180 - $9,127 19%
Midlands Choice - All Plans $1,406 - $11,255 23%
Corvel Wc-All Plans $1,596 - $10,336 26%
First Choice-All Plans $1,684 - $10,911 27%
First Health-All Plans $1,684 - $10,911 27%
Integrated Hp-All Plans $1,684 - $10,911 27%
Mutual Of Omaha-All Plans $1,684 - $10,911 27%
Plaines Health-All Plans $1,684 - $10,911 27%
Preferred Hlth Ntwork-All Plans $1,684 - $10,911 27%
Principal Healthcare-All Plans $1,684 - $10,911 27%
Usa Managed Care-All Plans $1,684 - $10,911 27%
Benefit Admin Of America-All Plans $1,773 - $11,485 29%
Iowa Total Care Mcaid-All Plans $1,773 - $5,398 29%
Molina Mcaid/Chip -All Plans $1,817 - $5,587 29%
Amerigroup Mcaid-All Plans $1,879 - $5,722 30%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals