CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Merit Health River Region

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,974
  • Cash Discount Price: $13,204
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Merit Health River Region is $5,974. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,204. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.97x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$13,204

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,974

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: $13,204 (214%)
Insurance Median: $5,974 (97%)
Cash: $13,204 (214% of Medicare)
Ins. Median: $5,974 (97% 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
Veterans Eval Services $596 10%
Ms Dept Of Rehabilitation Services $3,683 60%
Magnolia $4,446 72%
Magnolia Mcd Chip $4,446 72%
Medicaid / KanCare $4,446 - $11,187 72%
UnitedHealthcare $4,446 - $11,495 72%
Caresource Truecare $4,535 73%
Molina Chip $4,802 78%
First Choice $5,658 - $55,017 92%
Medicare (plans) $5,658 92%
Node Magnolia Mcr Adv $5,658 92%
Node Vantage Mcr Adv $5,658 92%
Tricare $5,675 92%
Node Hospice Non Par Agree $5,750 93%
Node Va $5,750 93%
Node Devoted Health Mcr Adv $5,771 93%
Node First Choice American Health Of Ms Mcr Adv $5,771 93%
Node Molina Mcr Adv $5,771 93%
Node Peoples Health Mcr Adv $5,771 93%
Aetna $5,828 - $29,343 94%
Node First Choice Wellcare Mcr Adv $5,865 95%
Node Windsor Mcr Adv $5,940 96%
Department Of Veterans Affairs $5,974 97%
Node Healthy Mississippi Mcr Adv $6,325 102%
Node Us Dept Of Labor $7,188 116%
Blue Cross Blue Shield $7,829 127%
Advanced Health Systems $7,901 128%
Molina Exchange $8,409 136%
Node Seven Corners $9,775 158%
Magnolia Exchange $10,063 163%
Ms Work Comp $10,318 167%
Humana $11,187 181%
Vantage Commercial $12,938 209%
Self Pay $13,204 214%
Medpartners $14,671 238%
Trimed Billing Solutions $22,007 356%
Cigna $30,296 - $51,350 491%
First Choice Mpcn Standard $40,346 653%
Phcs $44,014 713%
Ms Health Partners $55,017 891%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals