CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Southern Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,034
  • Cash Discount Price: $6,034
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Southern Regional Medical Center is $6,034. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,034. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.98x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$6,034

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,034

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: $6,034 (98%)
Insurance Median: $6,034 (98%)
Cash: $6,034 (98% of Medicare)
Ins. Median: $6,034 (98% 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
Humana $1,325 - $5,913 21%
Blue Cross Blue Shield $3,028 - $6,034 49%
Aetna $5,722 - $6,034 93%
Americas Choice Provider Network $6,034 98%
Cigna $6,034 - $12,582 98%
Clear Spring Health Plan $6,034 98%
Corvel $6,034 98%
Georgia Workers’ Compensation $6,034 98%
Medicare (plans) $6,034 98%
Multiplan $6,034 98%
Novanet $6,034 98%
Prime Health Services $6,034 98%
Provider Select $6,034 98%
Riverwood Behavioral Health $6,034 - $7,543 98%
Three Rivers $6,034 98%
Tricare $6,034 98%
UnitedHealthcare $6,034 98%
Caresource $6,215 - $10,560 101%
Devoted Health $6,215 101%
Peach State $6,215 - $7,241 101%
Sonder Health Plan $6,336 103%
Wellcare $6,336 103%
Oscar Health Plan $7,844 127%
Employer Direct Healthcare $8,448 137%
Centurion $9,051 147%
Naphcare $9,353 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals