CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,818
Cash Discount Price: $4,689
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ochsner Medical Center - Baton Rouge is $6,818. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,689. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.10x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$4,689

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,818

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: $4,689 (76%)

Insurance Median: $6,818 (110%)

Cash: $4,689 (76% of Medicare)

Ins. Median: $6,818 (110% 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	$550 - $5,365	9%
UnitedHealthcare	$550 - $12,353	9%
Healthy Blue (Healthy Louisiana)	$561	9%
Louisiana Healthcare Connections (Healthy Louisiana)	$561	9%
Aetna	$567 - $6,818	9%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$567	9%
Medicaid / KanCare	$4,275	69%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$5,365	87%
Blue Cross Blue Shield	$5,365 - $14,416	87%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$5,365	87%
Medicare (plans)	$5,365	87%
Ochsner Health Plan	$5,365	87%
Tricare	$5,365	87%
Claritev D/B/A Multiplan/Phcs/American Life Care	$8,792	142%
Healthcomp & Personify Health (Formerly Gilsbar)	$8,792	142%
Cigna	$9,542	154%
Louisiana Workers' Compensation Corporation (Lwcc)	$10,990	178%
Mississippi Physicians Care Network	$10,990	178%
First Health Network	$11,722	190%
Prime Health Services Ppo	$12,455	202%
Usa Managed Care Network	$12,455	202%

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 $4,689.
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 Medical Center - Baton Rouge 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.