CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,954
  • Cash Discount Price: $6,186
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Tennova Healthcare - Newport Medical Center is $5,954. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,186. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.96x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$6,186

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,954

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: $6,186 (100%)
Insurance Median: $5,954 (96%)
Cash: $6,186 (100% of Medicare)
Ins. Median: $5,954 (96% 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%
Amerigroup $3,258 - $6,069 53%
Bluecare $3,519 - $3,637 57%
Medicaid / KanCare $3,553 58%
UnitedHealthcare $3,553 - $26,323 58%
Blue Cross Blue Shield $4,949 - $8,745 80%
Tricare $5,211 84%
Node Champva $5,485 89%
Humana $5,780 94%
Medicare (plans) $5,780 94%
Node Bluecare Plus Tn Mcr Adv $5,874 95%
Node Hospice Non Par Agree $5,874 95%
Node Va $5,874 95%
Node Devoted Health Mcr Adv $5,896 95%
Node Farm Bureau Mcr Adv $5,896 95%
Aetna $5,954 - $16,373 96%
Node Healthspring Mcr Adv $5,954 96%
Node Wellcare Mcr Adv $6,012 97%
Windsor Health Plan $6,069 98%
Self Pay $6,186 100%
Node Nhc Mcr Adv $6,358 103%
Us Department Of Labor $7,343 119%
Novanet Work Comp Tn $8,664 140%
Tn Work Comp $8,752 142%
Ambetter / Centene $10,868 176%
Point Comfort Underwriters $12,717 206%
Cigna $19,852 321%
Multiplan $20,532 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals