CMS Price Transparency Data

Inguinal hernia repair

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 49505
  • Insurance Median: $550
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $550. 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 0.15x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$550

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: $550 (15%)
Ins. Median: $550 (15% 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.

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
Devoted $87 - $819 2%
Humana $87 - $826 2%
Careplus $92 - $860 3%
Baycare $94 - $877 3%
Freedom Health $96 - $901 3%
Optimum $96 - $901 3%
Aetna $97 - $1,565 3%
Cigna $109 - $1,025 3%
Avmed $122 - $1,147 3%
Health First $131 - $1,229 4%
Multiplan $140 - $1,311 4%
Simply $416 11%
United Hc $436 - $12,745 12%
Blue Cross Blue Shield $537 - $858 15%
Evolutions $645 18%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL