Inguinal hernia repair
Facility: Goodland Regional Medical Center
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $3,812
- Cash Discount Price: $3,227
- vs. Medicare Baseline: 1.04x 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 |
|---|---|---|
| Wppa | $1,237 - $5,144 | 34% |
| UnitedHealthcare | $1,310 - $5,144 | 36% |
| Blue Cross Blue Shield | $3,812 | 104% |
Consumer Guidance & Cost Commentary
For an inguinal hernia repair at Goodland Regional Medical Center, the cash median price is $3,227, which is lower than the facility's negotiated rate of $3,812. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average figures for this procedure to make a direct comparison. Patients with high-deductible plans may find paying the cash price more advantageous than using insurance, as the negotiated rate of $3,812 could exceed their out-of-pocket maximums if their deductible has not been met. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly between payers.
The Medicare benchmark for this service is $3,657.95, which serves as a scientifically validated baseline for evaluating pricing markups. The facility's cash price of $3,227 is below the Medicare rate, suggesting a fair pricing structure compared to the federal standard. If you choose to use insurance, the allowed amounts range from $1,237 to $5,144 depending on your specific plan, with Blue Cross Blue Shield having a fixed allowed amount of $3,812. To minimize costs, we recommend requesting a self-pay or prompt-pay discount before check-in, as hospitals often offer fee reductions for upfront payments that bypass the administrative overhead of insurance billing. Always ensure you receive an itemized bill to confirm that all charges align with the agreed-upon rates and that no unbundled codes or services not rendered have been included.