CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mount Carmel Dublin

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $10,434
Cash Discount Price: $39,223
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mount Carmel Dublin is $10,434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39,223. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.69x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.

Cash / Self-Pay

$39,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,434

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: $39,223 (635%)

Insurance Median: $10,434 (169%)

Cash: $39,223 (635% of Medicare)

Ins. Median: $10,434 (169% 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
Aetna	$4,641 - $8,399	75%
Medicare (plans)	$5,124 - $6,121	83%
Blue Cross Blue Shield	$5,713 - $18,087	92%
UnitedHealthcare	$5,827 - $13,009	94%
The Health Plan	$5,946	96%
Rural Carrier Health Benefit Plan	$8,399	136%
Oscar	$9,618	156%
Enterprise Group Planning	$11,250	182%
Custom Design Benefits	$12,183	197%
Geha	$13,009	211%
Quality Care Partners	$13,174	213%
Medical Mutual	$14,325 - $19,748	232%
American Postal Workers Secondary	$15,329	248%
Cigna	$15,329	248%
Health Partners	$15,329	248%
Healthgram	$15,329	248%
Mvp	$15,329	248%
Priority Health	$15,329	248%
Western & Southern Financial Group	$19,748	320%

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 $39,223.
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 Mount Carmel Dublin 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.