CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Akron General Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,467
Cash Discount Price: $1,682
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Akron General Medical Center is $1,467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,682. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.24x the Medicare baseline. Located in 1 Akron General Avenue, Akron, OH.

Cash / Self-Pay

$1,682

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,467

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: $1,682 (27%)

Insurance Median: $1,467 (24%)

Cash: $1,682 (27% of Medicare)

Ins. Median: $1,467 (24% 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
Oscar	$375 - $1,006	6%
Summacare	$411 - $5,391	7%
UnitedHealthcare	$490 - $5,391	8%
Buckeye	$516 - $2,505	8%
Caresource	$541 - $2,505	9%
United	$541 - $9,608	9%
Ohcp	$547 - $1,467	9%
Amerihealth	$567 - $2,756	9%
Molina	$567 - $2,630	9%
Aetna	$632 - $5,391	10%
Blue Cross Blue Shield	$632 - $14,201	10%
Humana	$632 - $5,391	10%
The Health Plan	$632 - $5,580	10%
Valor	$632 - $5,391	10%
Communicare	$663	11%
Pphp	$682 - $5,930	11%
Zing Health	$695 - $5,930	11%
Omas	$703 - $1,885	11%
Aultcare	$827	13%
Phphi	$844 - $2,262	14%
Cigna	$903 - $8,900	15%
Gms	$984 - $2,639	16%
Mmo	$984 - $6,261	16%
Consociate Health	$1,054 - $2,828	17%
Multiplan	$1,265 - $3,393	20%
United Bh	$2,656	43%
Upmc	$4,990	81%
Perennial Health	$5,822	94%

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 $1,682.
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 Akron General 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.