CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Boone County Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $801
Cash Discount Price: $1,200
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Boone County Hospital is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,200. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.13x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$1,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$801

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: $1,200 (19%)

Insurance Median: $801 (13%)

Cash: $1,200 (19% of Medicare)

Ins. Median: $801 (13% 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
Choice Care Mcr Adv - All Plans	$561	9%
Humana	$561 - $1,350	9%
Iowa Hlth Adv - All Plans	$561	9%
Mt Carmel Hp - All Plans	$561	9%
Va Ccn-All Plans	$561	9%
Amerigroup Mcr Adv - All Other Plans	$567	9%
Aetna	$572 - $1,123	9%
Tricare	$600	10%
UnitedHealthcare	$610 - $930	10%
Healthsmart Accell Network	$645	10%
Health Alliance-All Plans	$673	11%
Healthsmart Ppo - All Other Plans	$673	11%
Medical Associates Hp-All Plans	$1,066	17%
Wellmark Hmo	$1,259	20%
Health Partners Profee Only - All Plans	$1,309	21%
Midlands Choice-All Plans	$1,418	23%
Mutually Preferred-All Plans	$1,425	23%
Wellmark Ppo - All Other Plans	$1,478	24%
Meridian Mcaid - All Plans	$1,500	24%
Iowa Total Care Mcaid - All Plans	$1,530	25%
Medicaid / KanCare	$1,545	25%

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 $1,200.
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 Boone County Hospital 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.