CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ochsner Choctaw General

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $671
Cash Discount Price: $2,003
vs. Medicare Baseline: 0.11x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ochsner Choctaw General is $671. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,003. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.11x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$2,003

Average discount available for prompt cash payment at this facility.

Insurance Median

$671

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: $2,003 (32%)

Insurance Median: $671 (11%)

Cash: $2,003 (32% of Medicare)

Ins. Median: $671 (11% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$487 - $583	8%
Cigna	$583 - $1,106	9%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$583	9%
Medicaid / KanCare	$583	9%
Medicare (plans)	$583 - $671	9%
UnitedHealthcare	$583 - $1,655	9%
Shared Health Mississippi	$612	10%
Prime Health Services Ppo	$671	11%
Blue Cross Blue Shield	$943	15%
Primewell Health Services Commercial Exchange Plan	$1,108	18%
Primewell Health Services – Commercial	$1,108	18%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,534	25%
Select Administrative Services Network	$1,844	30%
Aetna	$1,871	30%
Prime Health Services Ppo -Workers Comp	$2,098	34%
Cor Vel	$2,120	34%
Zelis	$2,503	41%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,003.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.