CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Fairview Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,621
  • Cash Discount Price: $15,438
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Fairview Hospital is $8,621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,438. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.40x the Medicare baseline. Located in 18101 Lorain Avenue, Cleveland, OH.
Cash / Self-Pay
$15,438

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,621

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: $15,438 (250%)
Insurance Median: $8,621 (140%)
Cash: $15,438 (250% of Medicare)
Ins. Median: $8,621 (140% 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
UnitedHealthcare $2,457 - $14,725 40%
Paramount $2,663 43%
Blue Cross Blue Shield $2,715 - $15,231 44%
Buckeye $2,715 44%
Molina $2,715 44%
United Bh $2,741 44%
Caresource $2,767 45%
United $2,767 - $9,608 45%
Amerihealth $2,844 46%
Humana $5,006 - $20,188 81%
Aetna $5,409 - $23,750 88%
Devoted Health $5,409 88%
Mmo $5,409 - $14,012 88%
Summacare $5,409 - $9,001 88%
The Health Plan $5,409 - $14,250 88%
Upmc $5,409 - $14,250 88%
Valor $5,409 88%
Cigna $5,571 - $19,000 90%
Communicare $5,679 92%
Perennial Health $5,841 95%
Pphp $5,950 96%
Zing Health $5,950 96%
Oscar $7,156 - $9,132 116%
Cc Ehp $9,476 - $9,619 153%
Aultcare $10,212 165%
Amish Community Aid Plan $10,688 - $11,875 173%
Ohcp $11,542 187%
Omas $11,875 192%
Ohio Healthy $12,825 208%
Healthsmart $13,062 211%
Php $14,250 231%
Phphi $14,250 231%
Gms $16,625 269%
Medical Benefit Corp $16,625 269%
Quality Care Partners $16,625 269%
Consociate Health $17,812 288%
Frontpath $21,375 346%
Managed Care Services $21,375 346%
Multiplan $21,375 346%
Tertiary Care Network $21,375 346%
Three Rivers $21,375 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Lorain Avenue, Cleveland, OH 44111
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals