CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mercy Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $2,567
  • Cash Discount Price: $8,944
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mercy Medical Center is $2,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,944. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.42x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$8,944

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,567

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: $8,944 (145%)
Insurance Median: $2,567 (42%)
Cash: $8,944 (145% of Medicare)
Ins. Median: $2,567 (42% 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
Oscar $375 - $9,132 6%
Summacare $411 - $7,885 7%
United $516 - $8,434 8%
Caresource $531 - $2,518 9%
Buckeye $541 - $2,518 9%
Ohcp $547 - $11,542 9%
Amerihealth $567 - $2,689 9%
Molina $567 - $2,567 9%
Aetna $632 - $23,750 10%
Blue Cross Blue Shield $632 - $15,231 10%
Cigna $632 - $12,374 10%
Humana $632 - $5,391 10%
The Health Plan $632 - $23,750 10%
Mmo $651 - $10,919 11%
Communicare $663 - $5,660 11%
Perennial Health $682 - $5,822 11%
Zing Health $695 - $5,930 11%
Omas $703 - $11,875 11%
Aultcare $726 - $9,738 12%
Phphi $844 - $14,250 14%
Gms $984 - $16,625 16%
Immergrun $1,054 - $11,875 17%
Multiplan $1,265 - $21,375 20%
Cc Ehp $9,476 - $9,619 153%
Amish Community Aid Plan $10,688 - $11,875 173%
Ohio Healthy $12,825 208%
Php $14,250 231%
Medical Benefit Corp $16,625 269%
Consociate Health $17,812 288%
Frontpath $21,375 346%
Managed Care Services $21,375 346%
Tertiary Care Network $21,375 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals