CMS Price Transparency Data

Inguinal hernia repair

Facility: Christus Ochsner St Patrick Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,261
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Christus Ochsner St Patrick Hospital is $3,261. 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 0.89x the Medicare baseline. Located in 524 Dr Michael Debakey Drive, Lake Charles, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,261

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: $3,261 (89%)

Ins. Median: $3,261 (89% 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
Amerihealth Caritas Louisiana	$683	19%
Louisiana Healthcare Connections	$683	19%
UnitedHealthcare	$683 - $9,520	19%
Healthy Blue Louisiana	$690	19%
Humana	$696 - $3,261	19%
Aetna	$717 - $3,261	20%
Triwest	$3,196	87%
Arcadian	$3,261	89%
Blue Cross Blue Shield	$3,261 - $6,210	89%
Christus Health	$3,261 - $4,565	89%
Coventry	$3,261	89%
Vantage Health Plan Inc	$3,261	89%
Dignity Health	$3,359	92%
Peoples Health	$3,359	92%
Wellcare	$3,424	94%
Allyalign Health	$3,587	98%
Medicare (plans)	$3,587	98%
Five Point Credit Union	$4,020	110%
Cigna	$6,684	183%

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 $X.
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 Christus Ochsner St Patrick Hospital 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.