CMS Price Transparency Data

Inguinal hernia repair

Facility: Avoyelles Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,635

about 0.7× the $3,658 Medicare rate · typically $765–$3,255

modeled estimate · not a bill or quote

What this hospital charges insurers

$812

Below the fair price — a good deal

about $1,823 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $2,635 This hospital $812 Cash price $1,914 Hospital's list price $6,380

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $475 Priciest $812

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $2,635 (about 0.7× the $3,658 Medicare rate). Avoyelles Hospital charges insurers about $812, or about $1,914 in cash — below the fair price — a good deal. Located in Marksville, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$662	18%
Blue Cross Blue Shieldmajor	$4,871	133%
Aetnamajor	$662 - $3,005	18%
Cignamajor	$662	18%
AmeriHealth	$662	18%
+ 7 smaller / regional plans	$662 - $4,871

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,914), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Avoyelles Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Avoyelles Hospital

Compare: Inguinal hernia repair at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.