CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Merit Health Women's Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,951
  • Cash Discount Price: $24,602
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Merit Health Women's Hospital is $7,951. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,602. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.29x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$24,602

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,951

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: $24,602 (398%)
Insurance Median: $7,951 (129%)
Cash: $24,602 (398% of Medicare)
Ins. Median: $7,951 (129% 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%
Medicaid / KanCare $4,446 - $17,866 72%
UnitedHealthcare $4,446 - $33,389 72%
Magnolia Mcd Ms Chip $4,490 73%
Caresource Truecare $4,535 73%
Molina Chip $4,802 78%
Humana $5,371 87%
Medicare (plans) $5,371 87%
Node Shared Health Of Ms Mcr Adv $5,371 87%
Node Vantage Health Mcr Adv $5,371 87%
Node Windsor Mcr Adv $5,371 87%
Node Va $5,458 88%
Node Devoted Health Mcr Adv $5,478 89%
Node First Choice American Health Of Ms Mcr Adv $5,478 89%
Node Molina Mcr Adv $5,478 89%
Aetna $5,532 - $82,008 90%
Node First Choice Wellcare Mcr Adv $5,567 90%
Node Healthy Mississippi Mcr Adv $6,004 97%
Node Us Dept Of Labor $6,823 110%
Blue Cross Blue Shield $7,829 127%
Advanced Health Systems $7,901 128%
Molina Exchange $7,951 129%
First Choice Preferred $8,187 133%
Occunet $8,187 133%
Node First Choice Seven Corners $9,279 150%
Magnolia Exchange $9,552 155%
Mississippi Department Of Rehabilitation Services $9,600 155%
Ms Work Comp $10,318 167%
First Choice Lgp $11,899 193%
Vantage Health $12,281 199%
Tricare $12,891 209%
Node Champva $13,569 220%
Cigna $25,540 414%
Self Pay $25,774 417%
Trimed Billing Solutions $35,146 569%
State Hospital $44,519 721%
First Choice Mpcn $52,719 854%
First Choice Standard $53,891 873%
Coventry First Health $60,920 986%
First Choice Ppo Plus $64,435 1043%
Health Choice Of Mississippi $87,866 1423%
First Choice Stratose $93,723 1517%
Prime Health Services $93,723 1517%
Benefit Management Systems $99,581 1612%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals