CMS Price Transparency Data

Inguinal hernia repair

Facility: Memorial Hospital and Health Care Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $947
Cash Discount Price: $616
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Memorial Hospital and Health Care Center is $947. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $616. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.26x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$616

Average discount available for prompt cash payment at this facility.

Insurance Median

$947

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: $616 (17%)

Insurance Median: $947 (26%)

Cash: $616 (17% of Medicare)

Ins. Median: $947 (26% 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
Blue Cross Blue Shield	$369 - $3,697	10%
Aetna	$467 - $3,697	13%
Caresource In Marketplace	$467 - $4,621	13%
Humana	$467 - $3,697	13%
Tricare	$467 - $3,142	13%
Mdwise	$469	13%
Mhs Hoosier Care Connect	$469	13%
Immergrun	$561 - $4,436	15%
Ambetter / Centene	$608 - $4,806	17%
Patoka Valley	$649	18%
Noncontracted	$748 - $5,915	20%
Onecare	$771	21%
Siho	$771	21%
Chamber Care	$787	22%
UnitedHealthcare	$908 - $11,091	25%
Encore	$985	27%
Encore Elite +	$985 - $8,873	27%
Cigna	$1,177	32%
Sagamore	$1,177	32%

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 $616.
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 Memorial Hospital and Health Care 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.