CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $2,653
  • Cash Discount Price: $2,208
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Cincinnati Children's Hospital Medical Center is $2,653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,208. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.43x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$2,208

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,653

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: $2,208 (36%)
Insurance Median: $2,653 (43%)
Cash: $2,208 (36% of Medicare)
Ins. Median: $2,653 (43% 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 $392 - $4,329 6%
Humana $412 - $549 7%
Wellcare_Ky $412 - $549 7%
United_Health_Care_Ky $414 - $551 7%
Blue Cross Blue Shield $441 - $3,766 7%
Caresource_Oh $460 - $541 7%
Caresource_In $463 - $617 7%
Amerihealth_Caritas_Oh $473 - $557 8%
Molina_Oh $482 - $567 8%
Buckeye_Oh $504 - $593 8%
Passport_Ky $544 9%
United_Health_Care_Oh $548 - $645 9%
United_Health_Care_Insurance $1,847 - $3,856 30%
Caresource_Oh_Insurance $2,164 35%
Medical_Mutual_Of_Ohio_Insurance $2,318 - $3,939 38%
Parkview_Signature_Care_Insurance $2,653 - $3,121 43%
Point_Comfort_Insurance $2,814 46%
Margaret_Mary_Health_Insurance $2,870 - $3,377 46%
Cigna $2,944 - $3,463 48%
Health_Ohio_Network_Insurance $3,463 - $4,113 56%
Beechstreet_Insurance $3,496 - $4,113 57%
Evolutions_Health_Care_Systems $3,896 63%
Galaxy_Health_Insurance $3,896 63%
Private_Health_Care_Systems_Insurance $3,970 64%
Custom_Design_Benefits_Insurance $4,113 67%
First_Health_Group_Insurance $4,113 67%
Health_Link_Insurance $4,113 67%
Health_Smart_Preferred_Insurance $4,113 67%
Medical_Benefit_Administrators_Insurance $4,113 67%
Ohio_Health_Choice_Insurance $4,113 67%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens