CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ochsner American Legion Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $294
Cash Discount Price: $3,777
vs. Medicare Baseline: 0.05x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ochsner American Legion Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,777. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in 1634 Elton Road, Jennings, LA.

Cash / Self-Pay

$3,777

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $3,777 (61%)

Insurance Median: $294 (5%)

Cash: $3,777 (61% of Medicare)

Ins. Median: $294 (5% 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
Aetna	$152 - $11,085	2%
Blue Cross Blue Shield	$152 - $10,243	2%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$152 - $5,303	2%
Humana	$152 - $5,303	2%
Medicare (plans)	$152 - $5,303	2%
Ochsner Health Plan	$152 - $5,303	2%
UnitedHealthcare	$152 - $6,666	2%
Wellcare Of Louisiana	$152 - $5,303	2%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$157 - $5,462	3%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$240 - $536	4%
Healthy Blue (Healthy Louisiana)	$240 - $536	4%
Louisiana Healthcare Connections (Healthy Louisiana)	$240 - $536	4%
Tricare	$635 - $5,303	10%
Verity Commercial And First Choice Network	$719 - $2,831	12%
Provider Network Of America	$776 - $9,015	13%
Zelis	$805 - $8,332	13%
Louisiana Workers' Compensation Corporation (Lwcc)	$908 - $8,999	15%
Healthcomp & Personify Health (Formerly Gilsbar)	$1,059 - $9,444	17%
Cigna	$1,282 - $1,300	21%

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 $3,777.
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 American Legion Hospital 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.