CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Merit Health Wesley

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,476
  • Cash Discount Price: $12,434
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Merit Health Wesley is $5,476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,434. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$12,434

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,476

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: $12,434 (201%)
Insurance Median: $5,476 (89%)
Cash: $12,434 (201% of Medicare)
Ins. Median: $5,476 (89% 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
Medicaid / KanCare $441 - $9,029 7%
Veterans Eval Services $596 10%
Aetna $1,035 - $5,442 17%
UnitedHealthcare $3,594 - $6,631 58%
Magnolia $4,446 - $5,283 72%
Magnolia Mcd Ms Chip $4,446 72%
Caresource Truecare $4,535 73%
Molina Chip $4,802 78%
First Choice $5,283 - $47,367 86%
Humana $5,283 86%
Medicare (plans) $5,283 86%
Node Vantage Mcr Adv $5,283 86%
Node Hospice Non Par Agree $5,369 87%
Node Va $5,369 87%
Molina $5,389 87%
Node Devoted Health Mcr Adv $5,389 87%
Node First Choice American Health Mcr Adv $5,389 87%
Node First Choice Wellcare Mcr Adv $5,476 89%
Node Healthy Mississippi Mcr Adv $5,906 96%
Node Us Dept Of Labor $6,711 109%
Tricare $6,835 111%
Node Champva $7,195 116%
Blue Cross Blue Shield $7,829 127%
Molina Exchange $7,852 127%
Advanced Health Systems $7,901 128%
Ms Dept Of Rehabilitation Services $8,796 142%
First Choice Molina $9,127 148%
Magnolia Exchange $9,396 152%
Cigna $9,979 162%
Ms Work Comp $10,318 167%
First Choice Lgp $11,704 189%
Chs Group Health Plan $11,842 192%
Vantage Health $12,080 196%
Self Pay $12,434 201%
Trimed Billing Solutions $17,763 288%
Benefit Management Services $38,485 623%
Coventry First Health $44,406 719%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals