CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Summa Health System

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $8,918
Cash Discount Price: $9,377
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Summa Health System is $8,918. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,377. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.44x the Medicare baseline. Located in 525 East Market Street, Akron, OH.

Cash / Self-Pay

$9,377

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,918

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: $9,377 (152%)

Insurance Median: $8,918 (144%)

Cash: $9,377 (152% of Medicare)

Ins. Median: $8,918 (144% 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
Medical Mutual - Asc	$2,157 - $2,538	35%
UnitedHealthcare	$2,206 - $21,590	36%
Summacare	$3,963 - $13,384	64%
Medical Mutual	$5,248 - $25,405	85%
Aetna	$5,720 - $10,272	93%
Cigna	$5,891 - $19,780	95%
Caresource	$6,006	97%
Buckeye Health Plan	$7,149 - $10,581	116%
Blue Cross Blue Shield	$8,985 - $20,163	145%

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 $9,377.
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 Summa Health System 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.