CMS Price Transparency Data

Inguinal hernia repair

Facility: Manning Regional Healthcare Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $2,229
Cash Discount Price: $4,406
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Manning Regional Healthcare Center is $2,229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,406. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.61x the Medicare baseline. Located in 1550 Sixth Street, Manning, IA.

Cash / Self-Pay

$4,406

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,229

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: $4,406 (120%)

Insurance Median: $2,229 (61%)

Cash: $4,406 (120% of Medicare)

Ins. Median: $2,229 (61% 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
Medical Associates Mcr	$451 - $7,166	12%
Medicare (plans)	$451 - $7,166	12%
Merigold Mcr Adv-All Plans	$451 - $7,166	12%
Tricare	$451 - $7,166	12%
UnitedHealthcare	$451 - $9,929	12%
Aetna	$629 - $10,032	17%
Oscar Epo-All Plans	$781 - $10,748	21%
Medical Associates Comm-All Other Plans	$857 - $7,677	23%
Preferred Health - All Plans	$857 - $7,677	23%
Wellmark Hmo	$998	27%
Wellmark Ppo-All Other Plans	$998	27%
Midlands Choice- All Plans	$1,080 - $10,032	30%
Iowa Total Care Mcaid-All Plans	$2,218 - $7,622	61%
Medicaid / KanCare	$2,240 - $7,697	61%

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 $4,406.
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 Manning Regional Healthcare Center 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.