CMS Price Transparency Data

Inguinal hernia repair

Facility: Cypress Pointe Surgical Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,103
Cash Discount Price: $6,269
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Cypress Pointe Surgical Hospital is $3,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,269. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.85x the Medicare baseline. Located in 42570 South Airport Rd, Hammond, LA.

Cash / Self-Pay

$6,269

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,103

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: $6,269 (171%)

Insurance Median: $3,103 (85%)

Cash: $6,269 (171% of Medicare)

Ins. Median: $3,103 (85% 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_Health_Insurance	$680	19%
Healthy_Blue_Health_Insurance	$680	19%
Humana	$680 - $6,270	19%
La_Healthcare_Connections	$680	19%
United_Health_Insurance	$680 - $3,134	19%
Blue_Cross_Health_Insurance	$3,019 - $3,134	83%
Coventry_Health_Insurance	$3,134 - $4,231	86%
Peoples_Health_Insurance	$3,134	86%
Aetna	$3,918	107%
Ppo_Plus_Health_Health_Insurance	$5,015	137%
Lwcc	$8,620	236%

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 $6,269.
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 Cypress Pointe Surgical 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.