CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Cleveland Clinic

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,240
Cash Discount Price: $2,451
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Cleveland Clinic is $2,240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,451. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.36x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.

Cash / Self-Pay

$2,451

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,240

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: $2,451 (40%)

Insurance Median: $2,240 (36%)

Cash: $2,451 (40% of Medicare)

Ins. Median: $2,240 (36% 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
Summacare	$411 - $5,409	7%
UnitedHealthcare	$490 - $5,409	8%
Paramount	$531 - $3,251	9%
Buckeye	$541 - $3,314	9%
Caresource	$541 - $3,156	9%
United	$552 - $9,457	9%
Amerihealth	$567	9%
Molina	$567 - $3,314	9%
Aetna	$632 - $5,409	10%
Blue Cross Blue Shield	$632 - $10,521	10%
Devoted Health	$632 - $5,409	10%
Humana	$632 - $5,409	10%
The Health Plan	$632 - $5,409	10%
Upmc	$632 - $5,409	10%
Valor	$632 - $5,409	10%
Cigna	$651 - $7,403	11%
Communicare	$663 - $5,679	11%
Perennial Health	$682 - $5,841	11%
Pphp	$682 - $5,950	11%
Zing Health	$695 - $5,950	11%
Oscar	$1,006	16%
Cc Ehp	$1,200	19%
Ohcp	$1,467	24%
Ohio Healthy	$1,508	24%
Aultcare	$1,621	26%
Amish Community Aid Plan	$1,696	27%
Mmo	$1,879 - $11,635	30%
Omas	$1,885	31%
Healthsmart	$2,074	34%
Phphi	$2,262	37%
Clarity Health	$2,450	40%
Gms	$2,639	43%
Quality Care Partners	$2,639	43%
Consociate Health	$2,828	46%
Multiplan	$3,393	55%
Three Rivers	$3,393	55%
Usa Managed Care	$3,393	55%
United Bh	$3,472	56%

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 $2,451.
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 Cleveland Clinic 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.