Inguinal hernia repair
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $452
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $257 - $435 | 7% |
| Aetna | $267 - $452 | 7% |
| Medicaid / KanCare | $267 - $457 | 7% |
| Providrs Care | $632 | 17% |
| Tricare | $2,429 | 66% |
| Blue Cross Blue Shield | $4,462 - $4,697 | 122% |
Consumer Guidance & Cost Commentary
For this Inguinal hernia repair procedure at Ascension Via Christi Hospital Manhattan, Inc, the median negotiated rate is $452. This facility, a voluntary non-profit acute care hospital located in Manhattan, Kansas, does not publish a cash median price in the current data, but patients should be aware that cash-pay options can sometimes result in lower costs than insurance negotiated rates, particularly for those with high-deductible plans. Since the median negotiated rate of $452 exceeds the Medicare benchmark amount of $3,657.95, it is important to verify that the facility offers "self-pay" or "prompt-pay" discounts, which could provide immediate savings for patients paying out-of-pocket or within a short timeframe.
The pricing data for this service reflects a diverse payer landscape with six distinct payers, including UnitedHealthcare, Aetna, Medicaid/KanCare, and Blue Cross Blue Shield, with negotiated rates ranging from $257 to $4,697 depending on the specific plan. While the data does not include explicit county or state average comparisons for this specific procedure code, the presence of a Medicare amount and specific payer negotiated rates allows consumers to evaluate the facility's pricing against federal benchmarks rather than inflated chargemaster lists. To ensure transparency and avoid unexpected balance billing, patients are encouraged to request a full itemized CPT-coded bill before finalizing payment, as summary invoices may obscure individual code costs and services rendered.