CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Tennova Healthcare - Clarksville

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,788
  • Cash Discount Price: $7,864
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Tennova Healthcare - Clarksville is $6,788. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,864. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.10x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$7,864

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,788

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: $7,864 (127%)
Insurance Median: $6,788 (110%)
Cash: $7,864 (127% of Medicare)
Ins. Median: $6,788 (110% 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
Veterans Eval Services $587 10%
Aetna $2,366 - $9,161 38%
Medicaid / KanCare $2,381 - $10,134 39%
UnitedHealthcare $2,381 - $8,467 39%
Amerigroup $3,838 62%
Blue Cross Blue Shield $4,221 - $10,924 68%
Cigna $5,558 - $12,708 90%
Tricare $5,603 91%
Humana $5,804 - $8,918 94%
Medicare (plans) $5,804 94%
Node Windsor Mcr Dual $5,804 94%
Node Devoted Health Mcr Adv $5,896 95%
Node Bluecare Plus Tn Mcr Adv $5,898 95%
Node Champva $5,898 95%
Node Hospice Non Par Agree $5,898 95%
Node Va $5,898 95%
Node Wellcare Mcr Adv $5,898 95%
American Health $5,920 96%
Node Ascension Complete Mcr Adv $5,920 96%
Node Farm Bureau Mcr Adv $5,920 96%
Node Healthspring Mcr Adv $5,920 96%
Node Amerigroup Mcr Adv $6,094 99%
Node Nhc Mcr Adv $6,384 103%
Oscar $7,193 116%
Node Us Dept Of Labor $7,373 119%
Ky Work Comp $7,691 125%
Self Pay $7,864 127%
Corvel $8,314 135%
Rockport Work Comp Tn $8,314 135%
Novanet Work Comp Tn $8,577 139%
Prime Health Work Comp Tn $8,577 139%
Tn Work Comp $8,752 142%
Wellcare $10,134 164%
Ambetter / Centene $10,911 177%
Node Valenz Access $11,796 191%
Naphcare $13,271 215%
Center Care $26,348 427%
Correct Care Solutions $36,482 591%
First Health $36,482 591%
Multiplan $38,509 623%
Phcs $38,509 623%
Prime Health Services $38,509 623%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals