CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ochsner LSU Health Monroe

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,303
  • Cash Discount Price: $3,335
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ochsner LSU Health Monroe is $5,303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,335. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.86x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.
Cash / Self-Pay
$3,335

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,303

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: $3,335 (54%)
Insurance Median: $5,303 (86%)
Cash: $3,335 (54% of Medicare)
Ins. Median: $5,303 (86% 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
Aetna $550 - $5,303 9%
Amerihealth Caritas Louisiana (Healthy Louisiana) $550 9%
Healthy Blue (Formerly Amerigroup Louisiana Inc.) $550 9%
Humana $550 - $5,303 9%
Louisiana Healthcare Connections (Healthy Louisiana) $550 9%
UnitedHealthcare $550 - $5,303 9%
First Health Network $2,447 40%
Cigna $3,771 61%
Verity Health Network – Lsu First Choice $4,336 - $6,090 70%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp) $5,303 86%
Blue Cross Blue Shield $5,303 - $6,213 86%
Medicare (plans) $5,303 86%
Multiplan/Phcs/American Lifecare $7,228 - $10,151 117%
Usa Managed Care Network $7,744 - $10,876 125%
Vantage Health Plan - Commercial $8,750 142%
Zelis $9,335 151%
Healthcomp Ppo (Formerly Gilsbar 360 $13,257 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4864 Jackson Street, Monroe, LA 71202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals