CMS Price Transparency Data
Inguinal hernia repair
Facility: Baptist Memorial Hospital Jonesboro, Inc.
Billing Code: 49505 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 49505
- Insurance Median: $4,878
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Baptist Memorial Hospital Jonesboro, Inc. is $4,878. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.33x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,878
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$3,657.95
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $3,657.95 (100%)
Insurance Median: $4,878 (133%)
Ins. Median: $4,878 (133% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $3,657.95 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Home State Health Plan | $297 | 8% |
| Summit Community Care | $363 | 10% |
| Caresource | $374 | 10% |
| Access Health Services | $381 - $5,203 | 10% |
| Humana | $850 - $3,414 | 23% |
| Aetna | $932 - $3,414 | 25% |
| Cigna | $1,116 - $3,284 | 31% |
| UnitedHealthcare | $2,075 - $3,349 | 57% |
| Multiplan | $2,972 | 81% |
| Triwest | $3,122 | 85% |
| Blue Cross Blue Shield | $3,252 - $3,602 | 89% |
| Springs Of Jonesboro | $3,252 | 89% |
| Vaccn | $3,252 | 89% |
| Veterans Evaluation Services | $3,252 | 89% |
| Novasys | $3,284 - $4,227 | 90% |
| Devoted Health | $3,317 | 91% |
| Primewell | $3,414 - $9,105 | 93% |
| Shared Health | $3,414 | 93% |
| Arlington Community Schools | $4,878 | 133% |
| Armstrong Relocation | $4,878 | 133% |
| Ashley Furniture Stores | $4,878 | 133% |
| Bartlett City Schools | $4,878 | 133% |
| Brimhall Foods | $4,878 | 133% |
| Building Plastic | $4,878 | 133% |
| Cannon Motor Company | $4,878 | 133% |
| Carlisle | $4,878 | 133% |
| City Of Bartlett | $4,878 | 133% |
| City Of Lakeland | $4,878 | 133% |
| Collierville Schools | $4,878 | 133% |
| Crittenden County | $4,878 | 133% |
| Davidson Hospitality | $4,878 | 133% |
| Desoto Co Board Of Supervisors | $4,878 | 133% |
| Dunn Investment Company | $4,878 | 133% |
| Eas Mssc Schools | $4,878 | 133% |
| Gossett Motor Cars | $4,878 | 133% |
| Heavy Machines | $4,878 | 133% |
| Hollowell Industries | $4,878 | 133% |
| Hospitality Management Advisors | $4,878 | 133% |
| Jas D Collier | $4,878 | 133% |
| Lakeland School System | $4,878 | 133% |
| Malco Theaters | $4,878 | 133% |
| Mechanical Systems | $4,878 | 133% |
| Mid-South Transport | $4,878 | 133% |
| Patterson Warehouses | $4,878 | 133% |
| Radians | $4,878 | 133% |
| Rei Nation | $4,878 | 133% |
| Retzer Resources | $4,878 | 133% |
| Ritchey Automotive | $4,878 | 133% |
| Security One | $4,878 | 133% |
| Silver Tree | $4,878 | 133% |
| State Systems | $4,878 | 133% |
| Town Of Collierville | $4,878 | 133% |
| United Tn Holdings | $4,878 | 133% |
| Vaughn Electric | $4,878 | 133% |
| W W Wood Products | $4,878 | 133% |
| Watkins Uiberall | $4,878 | 133% |
| Y K Auto Group | $4,878 | 133% |
| First Community Bank | $5,203 | 142% |
| First State Bank Trust | $5,528 | 151% |
| Ppo Plus | $5,528 | 151% |
| Burch Food Services | $5,853 | 160% |
| First Choice Health Plan Of Ms | $5,853 | 160% |
| French Camp Academy | $5,853 | 160% |
| Hattiesburg Clinic | $5,853 | 160% |
| Heartland Catfish Company | $5,853 | 160% |
| W G Yates | $5,853 | 160% |
| Employers Health Network | $6,504 | 178% |
| Harding Academy | $6,504 | 178% |