CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$935

about 0.2× the $6,176 Medicare rate · typically $694–$1,563

modeled estimate · not a bill or quote

What this hospital charges insurers

$892

About the fair price

about $43 under the fair price · 0.1× Medicare

Medicare pays $6,176 Fair price $935 This hospital $892 Cash price $1,894 Hospital's list price $1,894

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $838 Priciest $1,179

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $935 (about 0.2× the $6,176 Medicare rate). St Anthony Regional Hospital & Nursing Home charges insurers about $892, or about $1,894 in cash — about the fair price. Located in Carroll, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$561 - $898	9%
Blue Cross Blue Shieldmajor	$561 - $1,894	9%
Aetnamajor	$561 - $1,247	9%
Humanamajor	$561 - $1,610	9%
Medica	$561	9%
Molina	$1,932	31%
+ 3 smaller / regional plans	$578 - $1,894

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,894), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm St Anthony Regional Hospital & Nursing Home is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Anthony Regional Hospital & Nursing Home

Compare: Gallbladder removal (laparoscopic) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.