Gallbladder removal (laparoscopic)
Facility: Regional Medical Center
Billing Code: 47562 (CPT)
- CPT Billing Code: 47562
- Insurance Median: $870
- Cash Discount Price: $9,050
- vs. Medicare Baseline: 0.14x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 14% |
Consumer Guidance & Cost Commentary
For patients paying cash directly, the most important thing to know is that this Regional Medical Center in Manchester, IA, offers a median cash price of $9,050 for a gallbladder removal (laparoscopic). Because this facility is a government-owned Critical Access Hospital, patients should actively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can often bypass the higher administrative costs associated with insurance billing. While commercial insurance plans typically face negotiated rates that are significantly higher due to claim processing fees and network tiering, the cash price here serves as a baseline for immediate funding without waiting for insurance adjustments.
When comparing this facility's pricing to broader benchmarks, the median cash rate of $9,050 is notably higher than the state of Iowa's average for this procedure. In contrast, the facility's median negotiated rate with Medical Associates Health Plan - Tri is set at $870, which is substantially lower than the cash price and aligns with the contractual ceilings designed to protect in-network members. It is crucial for patients to verify their specific deductible status and plan details, as commercial rates often include administrative overhead that can inflate the final cost, whereas the cash rate reflects the direct service cost without these additional layers.