CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Kossuth Regional Health Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,191
Cash Discount Price: $5,365
vs. Medicare Baseline: 0.35x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Kossuth Regional Health Center is $2,191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,365. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.35x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$5,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,191

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: $5,365 (87%)

Insurance Median: $2,191 (35%)

Cash: $5,365 (87% of Medicare)

Ins. Median: $2,191 (35% 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
Humana	$561 - $4,331	9%
Va Ccn - All Plans	$561 - $4,288	9%
Amerigroup Mcr Adv - All Other Plans	$572 - $4,374	9%
UnitedHealthcare	$578 - $8,565	9%
Mercy One - All Plans	$589 - $4,288	10%
Sanford Pho Isno Mcr Adv Profee Only - All Plans	$589	10%
Medical Associates - All Plans	$926 - $9,592	15%
Preferred Health - All Plans	$926 - $9,592	15%
Blue Cross Blue Shield	$1,287 - $4,774	21%
Health Partners New Bus - All Other Plans	$1,418 - $7,900	23%
Aetna	$1,438 - $10,946	23%
Health Partners Exisiting Bus	$1,560 - $10,946	25%
Midlands Choice - All Plans	$1,562 - $7,900	25%
Multiplan - All Plans	$2,021 - $10,721	33%
Molina Mcaid/Chip - All Plans	$2,180 - $11,624	35%
Amerigroup Mcaid	$2,191 - $11,736	35%

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 $5,365.
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 Kossuth Regional Health Center 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.