CMS Price Transparency Data

Inguinal hernia repair

Facility: North Okaloosa Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$5,190

about 1.4× the $3,658 Medicare rate · typically $3,564–$9,572

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,486

Below the fair price — a good deal

about $704 under the fair price · 1.2× Medicare

Medicare pays $3,658 Fair price $5,190 This hospital $4,486 Cash price $25,244 Hospital's list price $140,242

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $375 Priciest $4,486

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $5,190 (about 1.4× the $3,658 Medicare rate). North Okaloosa Medical Center charges insurers about $4,486, or about $25,244 in cash — below the fair price — a good deal. Located in Crestview, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,501 - $27,768	68%
Blue Cross Blue Shieldmajor	$3,679 - $15,402	101%
Aetnamajor	$3,679 - $105,182	101%
Cignamajor	$3,679 - $109,389	101%
Humanamajor	$2,576 - $3,863	70%
Amerigroup	$2,501	68%
Oscar Health	$10,836	296%
Simply Healthcare	$2,551 - $3,863	70%
WellCare	$2,627 - $3,789	72%
+ 9 smaller / regional plans	$2,627 - $47,402

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 25,244), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm North Okaloosa Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Okaloosa Medical Center

Compare: Inguinal hernia repair at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.