CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Hammond Henry Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,672
Cash Discount Price: $2,736
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Hammond Henry Hospital is $1,672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,736. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.27x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$2,736

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,672

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: $2,736 (44%)

Insurance Median: $1,672 (27%)

Cash: $2,736 (44% of Medicare)

Ins. Median: $1,672 (27% 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
Multiplan Phcs Adult	$90 - $2,736	1%
Multiplan Phcs Pediatric	$90 - $2,736	1%
Tricare	$598 - $793	10%
Aetna	$665 - $8,190	11%
Health Alliance Mcare Adv	$665 - $882	11%
Humana	$665 - $2,736	11%
UnitedHealthcare	$665 - $2,247	11%
Blue Cross Blue Shield	$704 - $8,190	11%
Quad City Community Hc-All Plans	$774 - $1,520	13%
Health Alliance-All Other Plans	$864 - $2,280	14%
Ambetter / Centene	$997 - $1,322	16%
Multiplan Pponext	$1,130 - $2,432	18%
Wellmark Of Ia-All Plans	$1,277 - $1,520	21%
Springfield Armory-All Plans	$1,296 - $1,976	21%
Multiplan-All Other Plans	$1,329 - $2,584	22%
Multiplan Integrated Hp	$2,280	37%
Osf Direct Access Network-All Plans	$2,432	39%
Corvel-All Plans	$2,736	44%
Healthsmart Adult-All Other Plans	$2,736	44%
Healthsmart Pediatric	$2,736	44%
Hfn-All Plans	$2,736	44%
Multiplan Beech Street	$2,736	44%
Usa Mco-All Plans	$2,736	44%
Meridian Health Plan-All Plans	$3,040 - $8,190	49%

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 $2,736.
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 Hammond Henry 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.