CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Howard County Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $585
  • Cash Discount Price: $1,293
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Howard County Medical Center is $585. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,293. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.09x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$1,293

Average discount available for prompt cash payment at this facility.

Insurance Median
$585

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: $1,293 (21%)
Insurance Median: $585 (9%)
Cash: $1,293 (21% of Medicare)
Ins. Median: $585 (9% 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
Humana $485 - $571 8%
Aetna $571 9%
Blue Cross Blue Shield $571 - $2,732 9%
Great Plains $571 9%
Medica Chi $571 9%
Tricare $571 9%
UnitedHealthcare $571 - $2,308 9%
Medica Standard Premier $574 9%
Medica Elevate $583 - $1,124 9%
Nebraska Total Care - Wellcare $588 10%
Molina Healthcare $600 10%
Oscar Health $1,000 16%
Ambetter / Centene $1,142 18%
Beshp $1,142 18%
Midland'S Choice $1,182 19%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals