CMS Price Transparency Data

Inguinal hernia repair

Facility: Tampa General Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,963
Cash Discount Price: $12,195
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Tampa General Hospital is $3,963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,195. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.08x the Medicare baseline. Located in 1 Tampa General Cir, Tampa, FL.

Cash / Self-Pay

$12,195

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,963

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%)

Cash / Self-Pay: $12,195 (333%)

Insurance Median: $3,963 (108%)

Cash: $12,195 (333% of Medicare)

Ins. Median: $3,963 (108% 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

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
Avmed	$1,874 - $2,277	51%
Phcs	$2,850 - $3,000	78%
Cigna	$3,036 - $4,001	83%
Capital Health Plan Tallahassee	$3,739	102%
Aetna	$3,776	103%
Care Plus Health Plans	$3,799	104%
Blue Cross Blue Shield	$3,800	104%
Freedom Health	$3,814	104%
Baycare	$3,851	105%
Ultimate Health Plans	$3,926	107%
Simply Healthcare	$3,963 - $6,281	108%
Longevity	$4,075	111%
Kaiser	$4,113	112%
Devoted Health	$4,188	114%
UnitedHealthcare	$4,698 - $6,490	128%
Molina	$5,608	153%
Sunshine Health	$5,662 - $5,982	155%
Health First Health Plans	$6,730	184%
Truli For Health	$7,104	194%
Oscar	$7,478	204%

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 $12,195.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 49505.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tampa General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 49505.
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.