CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Harlan County Health System

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $2,418
  • Cash Discount Price: $3,052
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Harlan County Health System is $2,418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,052. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.39x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$3,052

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,418

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: $3,052 (49%)
Insurance Median: $2,418 (39%)
Cash: $3,052 (49% of Medicare)
Ins. Median: $2,418 (39% 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
Aetna $561 - $3,648 9%
Medica Chi Health $561 - $4,743 9%
Medica Mcr Adv $561 - $2,814 9%
Medica Prime Solution $561 - $2,814 9%
Tricare $561 - $3,492 9%
UnitedHealthcare $561 - $5,003 9%
Great Plains Mcr Adv-All Plans $589 - $3,666 10%
Medica Ifb Aco $1,017 - $5,003 16%
Blue Cross Blue Shield $1,071 - $5,003 17%
Medica Chi Aco - All Other Plans $1,071 - $4,743 17%
Medica Choice $1,122 - $4,743 18%
Medica Ifb Open Access $1,300 - $5,003 21%
Phcs/Multiplan-All Plans $1,677 - $5,108 27%
Ohara Llc Wc- All Plans $2,297 - $4,951 37%
Ambetter / Centene $2,466 40%
Healthy Blue Mcaid-All Plans $2,539 41%
Humana $3,492 57%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals