CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,559
  • Cash Discount Price: $5,465
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Tennova Healthcare-Jefferson Memorial Hospital is $5,559. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,465. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.90x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$5,465

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,559

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: $5,465 (88%)
Insurance Median: $5,559 (90%)
Cash: $5,465 (88% of Medicare)
Ins. Median: $5,559 (90% 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%
Bluecare $3,247 - $3,519 53%
Amerigroup $3,276 53%
Medicaid / KanCare $3,420 55%
UnitedHealthcare $3,420 - $24,693 55%
Blue Cross Blue Shield $5,013 - $8,745 81%
Tricare $5,211 84%
Humana $5,397 87%
Medicare (plans) $5,397 87%
Self Pay $5,465 88%
Node Bluecare Plus Tn Mcr Adv $5,485 89%
Node Champva $5,485 89%
Node Hospice Non Par Agree $5,485 89%
Node Va $5,485 89%
Node Devoted Health Mcr Adv $5,505 89%
Node Farm Bureau Mcr Adv $5,505 89%
Aetna $5,559 - $15,853 90%
Node Healthspring Mcr Adv $5,559 90%
Node Amerigroup Mcr Adv $5,667 92%
Node Wellcare Mcr Adv $5,704 92%
Node Nhc Mcr Adv $5,937 96%
Node Us Dept Of Labor $6,856 111%
Three Rivers Work Comp Tn $7,001 113%
Novanet Work Comp Tn $8,664 140%
Occunet Work Comp Tn $8,752 142%
Tn Work Comp $8,752 142%
Ambetter / Centene $10,147 164%
Point Comfort Underwriters $11,874 192%
Cigna $12,719 206%
Multiplan Complementary $19,508 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals