CMS Price Transparency Data
Inguinal hernia repair
Facility: Baptist Memorial Hospital-Crittenden, Inc
Billing Code: 49505 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 49505
- Insurance Median: $5,332
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Baptist Memorial Hospital-Crittenden, Inc is $5,332. 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 1.46x the Medicare baseline. Located in 2100 North Seventh Street, West Memphis, AR.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,332
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: $5,332 (146%)
Ins. Median: $5,332 (146% 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 |
|---|---|---|
| Summit Community Care | $363 | 10% |
| Caresource | $374 | 10% |
| Tribute Health Plan | $396 - $3,393 | 11% |
| Blue Cross Blue Shield | $936 - $4,814 | 26% |
| Humana | $1,785 - $3,393 | 49% |
| Multiplan | $2,972 | 81% |
| Wellpoint | $3,070 - $3,393 | 84% |
| Triwest | $3,102 | 85% |
| Vaccn | $3,232 | 88% |
| Veterans Evaluation Services | $3,232 | 88% |
| Devoted Health | $3,296 | 90% |
| Molina | $3,296 - $5,978 | 90% |
| Aetna | $3,393 | 93% |
| American Health Plan | $3,393 | 93% |
| Novasys | $3,393 - $4,201 | 93% |
| Primewell | $3,393 - $9,048 | 93% |
| Shared Health | $3,393 | 93% |
| Oscar | $4,722 | 129% |
| Access Health Services | $5,170 | 141% |
| Rhodes College | $5,170 | 141% |
| Arlington Community Schools | $5,332 | 146% |
| Bartlett City Schools | $5,332 | 146% |
| City Of Bartlett | $5,332 | 146% |
| City Of Lakeland | $5,332 | 146% |
| Collierville Schools | $5,332 | 146% |
| Eas Mssc Schools | $5,332 | 146% |
| Lakeland School System | $5,332 | 146% |
| Town Of Collierville | $5,332 | 146% |
| Magnolia Tn | $5,456 | 149% |
| First State Bank Trust | $5,494 | 150% |
| Armstrong Relocation | $5,817 | 159% |
| Ashley Furniture Stores | $5,817 | 159% |
| Brimhall Foods | $5,817 | 159% |
| Building Plastic | $5,817 | 159% |
| Burch Food Services | $5,817 | 159% |
| Cannon Motor Company | $5,817 | 159% |
| Carlisle | $5,817 | 159% |
| Crittenden County | $5,817 | 159% |
| Davidson Hospitality | $5,817 | 159% |
| Desoto Co Board Of Supervisors | $5,817 | 159% |
| Dunn Investment Company | $5,817 | 159% |
| First Choice Health Plan Of Ms | $5,817 | 159% |
| First Community Bank | $5,817 | 159% |
| French Camp Academy | $5,817 | 159% |
| Gossett Motor Cars | $5,817 | 159% |
| Hattiesburg Clinic | $5,817 | 159% |
| Heartland Catfish Company | $5,817 | 159% |
| Heavy Machines | $5,817 | 159% |
| Hollowell Industries | $5,817 | 159% |
| Hospitality Management Advisors | $5,817 | 159% |
| Jas D Collier | $5,817 | 159% |
| Malco Theaters | $5,817 | 159% |
| Mechanical Systems | $5,817 | 159% |
| Mid-South Transport | $5,817 | 159% |
| Patterson Warehouses | $5,817 | 159% |
| Radians | $5,817 | 159% |
| Rei Nation | $5,817 | 159% |
| Retzer Resources | $5,817 | 159% |
| Ritchey Automotive | $5,817 | 159% |
| Security One | $5,817 | 159% |
| Silver Tree | $5,817 | 159% |
| State Systems | $5,817 | 159% |
| United Tn Holdings | $5,817 | 159% |
| Vaughn Electric | $5,817 | 159% |
| W G Yates | $5,817 | 159% |
| W W Wood Products | $5,817 | 159% |
| Watkins Uiberall | $5,817 | 159% |
| Y K Auto Group | $5,817 | 159% |
| Employers Health Network | $6,463 | 177% |
| Harding Academy | $6,463 | 177% |