CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Davis County Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $589
  • Cash Discount Price: $2,455
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Davis County Hospital is $589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,455. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$2,455

Average discount available for prompt cash payment at this facility.

Insurance Median
$589

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: $2,455 (40%)
Insurance Median: $589 (10%)
Cash: $2,455 (40% of Medicare)
Ins. Median: $589 (10% 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
Midlands Choice - All Plans $67 1%
Aetna $561 9%
Choicecare Mcr Adv $561 9%
Home State Hlth Exch - All Other Plans $561 9%
Home State Hlth Mcr $561 9%
Tricare $561 9%
Amerigroup Mcr Adv-All Other Plans $572 9%
American Hp Mcr Adv-All Plans $589 10%
Mt Carmel Hp-All Plans $589 10%
Choicecare Comm - All Other Plans $842 14%
Preferred Hlth Choices - All Plans $1,066 17%
Blue Cross Blue Shield $1,277 - $1,502 21%
Home State Hlth Mcaid $2,455 40%
Iowa Total Care Mcaid-All Plans $2,504 41%
Molina Mcaid-All Plans $2,516 41%
Amerigroup Mcaid $2,529 41%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals