CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Crossing Rivers Health Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,051
Cash Discount Price: $3,121
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Crossing Rivers Health Medical Center is $1,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,121. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$3,121

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,051

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: $3,121 (51%)

Insurance Median: $1,051 (17%)

Cash: $3,121 (51% of Medicare)

Ins. Median: $1,051 (17% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup Mcr Adv	$562	9%
Blue Cross Blue Shield	$562 - $1,404	9%
Humana	$562	9%
Security Hlth Comm - All Other Plans	$562	9%
Security Hlth Mcr Adv	$562	9%
UnitedHealthcare	$562	9%
Amerigroup Mcaid-All Other Plans	$618	10%
Iowa Total Care Mcaid-All Plans	$618	10%
Wps - All Plans	$758	12%
Quartz - All Plans	$1,343	22%
Group Health Co-Op - All Plans	$2,497	40%
Dean Health Plan - All Plans	$2,965	48%
Health Trad Hp - All Plans	$2,996	49%
Cigna	$3,027	49%
First Health - All Plans	$3,027	49%
Geha - All Plans	$3,027	49%
Health Partners - All Plans	$3,027	49%
Medical Associates Hp - All Plans	$3,027	49%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,121.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crossing Rivers Health Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.