CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Cass County Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $617
  • Cash Discount Price: $1,717
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Cass County Memorial Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,717. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$1,717

Average discount available for prompt cash payment at this facility.

Insurance Median
$617

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: $1,717 (28%)
Insurance Median: $617 (10%)
Cash: $1,717 (28% of Medicare)
Ins. Median: $617 (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 Medica Mcr $491 8%
Triwest - All Plans $544 9%
Aetna $561 - $2,208 9%
Amerigroup Mcr Adv - All Other Plans $561 9%
Medica Mcr Adv $561 9%
Tricare $561 9%
UnitedHealthcare $561 - $992 9%
Va Ccn - All Plans $561 9%
Wellmark Mcr Adv $567 9%
Iowa Total Care Mcr $572 9%
American Hlth Mcr Adv - All Plans $578 9%
Iowa Total Care Comm - All Other Plans $617 10%
Wellmark Hmo $1,287 21%
Midlands Choice New Bus $1,475 24%
Midlands Choice Pho (Ppo) - All Other Plans $1,475 24%
Wellmark Ppo - All Other Plans $1,514 25%
Medica Comm - All Other Plans $2,159 35%
Multiplan - All Plans $2,330 38%
Medicaid / KanCare $2,453 40%
Iowa Total Care Mcaid $2,502 41%
Molina Mcaid - All Plans $2,502 41%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals