CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ohio Valley Surgical Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,561
  • Cash Discount Price: $13,871
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ohio Valley Surgical Hospital is $5,561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,871. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.90x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$13,871

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,561

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: $13,871 (225%)
Insurance Median: $5,561 (90%)
Cash: $13,871 (225% of Medicare)
Ins. Median: $5,561 (90% 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
Aetna $797 - $5,561 13%
Geha $797 13%
Genworth $797 13%
Mail Handlers $797 13%
Meritain $797 13%
Meritain Heatlh $797 13%
Mhbp $797 13%
Ngs Coresource $797 13%
Nippon Life $797 13%
Pacific Source $797 13%
Personify Health $797 13%
Aarp $5,561 90%
Aarp Supplemental $5,561 90%
American Continental Insurance $5,561 90%
American Continental Life $5,561 90%
American Republic $5,561 90%
American Retirement $5,561 90%
Aultcare Primetime Health Plan $5,561 90%
Bankers Fidelity $5,561 90%
Bankers Life And Casualty $5,561 90%
Blue Cross Blue Shield $5,561 - $22,772 90%
Central States $5,561 90%
Champus $5,561 90%
Cigna $5,561 - $8,621 90%
Communicare Advantage $5,561 90%
Everest $5,561 90%
Gateway Health Plan $5,561 90%
Humana $5,561 90%
Medicare (plans) $5,561 - $13,871 90%
Medigold $5,561 90%
Mmoh $5,561 - $14,565 90%
Molina $5,561 90%
Molina Dual Mcr $5,561 90%
Molina Marketplace $5,561 90%
Molina Dual Mcr $5,561 90%
Molina Mcr $5,561 90%
Molina Mcr Mcd $5,561 90%
Molina Mcr+Mcd $5,561 90%
Patient No Pay $5,561 90%
Prosperity Supplement $5,561 90%
Self Pay Imaging $5,561 90%
UnitedHealthcare $5,561 - $6,560 90%
Wellcare By Allwell $5,561 90%
Wraparound Pl Supp $5,561 90%
The Health Plan $5,839 95%
Devoted Health $5,865 95%
Employer Direct $6,395 104%
Caresource $8,341 135%
Caresourse $8,341 135%
Medicaid / KanCare $8,341 135%
Healthgram $8,621 140%
Nalc $8,621 140%
Samba $8,621 140%
Sbma $8,621 140%
Unified Group $8,621 140%
Mmoh (Supermed) $10,750 174%
Mmo Cin. Hmo $14,565 236%
Luminare Health $20,807 337%
Medben $20,807 337%
Ohio Health $20,807 337%
Preferred Health $20,807 337%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals