CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Clay County Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$711

about 0.1× the $6,176 Medicare rate · typically $586–$2,917

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $711 Cash price $6,224 Hospital's list price $6,224

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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	$665 - $708	11%
Blue Cross Blue Shieldmajor	$648 - $1,213	10%
Aetnamajor	$648 - $793	10%
Cignamajor	$4,979	81%
Ambetter (Centene)	$665	11%
HealthLink	$4,046 - $4,979	66%
Medica	$665 - $831	11%
Meridian	$648 - $665	10%
Molina	$648	10%
WellCare	$665	11%
+ 1 smaller / regional plan	$5,913

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 6,224), 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 Clay County Hospital 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 Clay County Hospital

Compare: Gallbladder removal (laparoscopic) at other IL hospitals

John H Stroger Jr Hospital · Chicago $877
Hammond Henry Hospital · Geneseo $897
University of Illinois Hospital and Clinics · Chicago $963
Deaconess Illinois Crossroads · Mount Vernon $1,043
UW Health · Rockford $1,081
Fayette County Hospital · Vandalia $1,203
Blessing Hospital · Quincy $1,257
Illini Community Hospital · Pittsfield $1,418

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