CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Fairfield Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,804
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Fairfield Medical Center is $6,804. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.10x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,804

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%)
Insurance Median: $6,804 (110%)
Ins. Median: $6,804 (110% 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
Medicaid / KanCare $2,802 45%
Molina $2,802 - $11,226 45%
UnitedHealthcare $2,802 - $9,348 45%
Caresource $2,830 - $8,845 46%
Blue Cross Blue Shield $2,886 - $26,250 47%
Humana $2,914 - $6,691 47%
Amerihealth Caritas Ohio $2,942 48%
Buckeye Community Health $2,942 - $10,546 48%
Aetna $6,691 108%
Medical Mutual $6,691 - $33,500 108%
Medicare (plans) $6,691 108%
Medigold $6,804 110%
Va Ccn $6,804 110%
The Health Plan $6,825 111%
Valor Health Plan $6,825 111%
Oscar $11,758 190%
Bwc $14,095 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals