CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,840

about 0.3× the $6,176 Medicare rate · typically $1,714–$4,736

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $1,840 Cash price $1,729 Hospital's list price $2,881

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,152 - $3,418	19%
Blue Cross Blue Shieldmajor	$646 - $3,451	10%
Aetnamajor	$1,105	18%
Cignamajor	$2,094	34%
Humanamajor	$3,451	56%
AmeriHealth	$3,451	56%
CareSource	$615 - $6,485	10%
Molina	$3,418 - $7,001	55%
Paramount	$615	10%
+ 5 smaller / regional plans	$440 - $18,529

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,729), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Nationwide Children's Hospital Toledo, LLC is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Nationwide Children's Hospital Toledo, LLC

Compare: Gallbladder removal (laparoscopic) at other OH hospitals

Union Hospital · Dover $914
Christ Hospital · Cincinnati $942
Akron Children's Hospital · Akron $950
Ashtabula County Medical Center · Ashtabula $987
Galion Community Hospital · Galion $1,000
Southwest General Health Center · Middleburg Heights $1,067
Mercy Medical Center · Canton $1,150
Henry County Hospital, Inc · Napoleon $1,579

Insurance negotiated median for the same procedure, sorted lowest first.