CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Merit Health River Oaks

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,802
  • Cash Discount Price: $19,775
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Merit Health River Oaks is $8,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,775. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.43x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$19,775

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,802

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: $19,775 (320%)
Insurance Median: $8,802 (143%)
Cash: $19,775 (320% of Medicare)
Ins. Median: $8,802 (143% 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 - $16,754 72%
UnitedHealthcare $4,446 - $29,333 72%
Magnolia Mcd Chip $4,490 73%
Caresource Truecare $4,535 73%
Molina Chip $4,802 78%
Humana $5,371 87%
Medicare (plans) $5,371 87%
Node First Choice Shared Health Of Ms Mcr Adv $5,371 87%
Node Vantage Health Mcr Adv $5,371 87%
Node Hospice Non Par Agree $5,458 88%
Node Va $5,458 88%
Molina $5,478 89%
Node Devoted Health Mcr Adv $5,478 89%
Node First Choice American Health Mcr Adv $5,478 89%
Aetna $5,532 - $76,903 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%
Ms Dept Of Rehabilitation Services $7,381 120%
Advanced Health Systems $7,901 128%
Molina Exchange $7,951 129%
First Choice Preferred $8,187 133%
Node First Choice Occunet $8,187 133%
Blue Cross Blue Shield $8,914 144%
Node First Choice Seven Corners $9,279 150%
Magnolia Exchange $9,552 155%
Ms Work Comp $10,318 167%
Prime Health Wc $10,318 167%
First Choice Lgp $11,899 193%
Tricare $12,129 196%
Vantage Health Commercial $12,281 199%
Node Champva $12,767 207%
Cigna $21,862 354%
Self Pay $24,170 391%
Trimed Billing Solutions $32,959 534%
Ms State Hospital Of Whitfield Ms $41,747 676%
First Choice Standard $50,536 818%
First Choice Coventry $57,128 925%
First Choice Mpcn Standard $60,424 978%
First Choice Ppo Plus $60,424 978%
Phcs $65,917 1067%
First Choice Stratose $87,889 1423%
Prime Health Services $87,889 1423%
American Health Group $93,382 1512%
Beech Street $93,382 1512%
Benefit Administration Services $93,382 1512%
Benefit Management Systems $93,382 1512%
Citizens State Bank Inc $93,382 1512%
Formost $93,382 1512%
Usa Mco $93,382 1512%
One Health Plan $98,876 1601%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals