CMS Price Transparency Data

Inguinal hernia repair

Facility: Ochsner St Anne General Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $5,558
Cash Discount Price: $3,570
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Ochsner St Anne General Hospital is $5,558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,570. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.52x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$3,570

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,558

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: $3,570 (98%)

Insurance Median: $5,558 (152%)

Cash: $3,570 (98% of Medicare)

Ins. Median: $5,558 (152% 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
Humana	$662 - $5,031	18%
UnitedHealthcare	$662 - $13,740	18%
Healthy Blue (Healthy Louisiana)	$675 - $1,012	18%
Louisiana Healthcare Connections (Healthy Louisiana)	$675 - $1,012	18%
Aetna	$681 - $7,486	19%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$681 - $1,022	19%
Tricare	$2,259 - $5,020	62%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$2,515 - $5,031	69%
Blue Cross Blue Shield	$2,515 - $15,568	69%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$2,515 - $5,031	69%
Medicare (plans)	$2,515 - $5,031	69%
Ochsner Health Plan	$2,515 - $5,031	69%
Medicaid / KanCare	$2,563 - $3,845	70%
Healthcomp & Personify Health (Formerly Gilsbar)	$6,086 - $12,171	166%
Louisiana Workers' Compensation Corporation (Lwcc)	$6,086 - $12,171	166%
Mississippi Physicians Care Network	$6,086 - $12,171	166%
Employers Health Network (Ehn)	$6,897 - $13,794	189%
First Health Network	$6,897 - $13,794	189%
Prime Health Services Ppo	$6,897 - $13,794	189%
Claritev D/B/A Multiplan/Phcs/American Life Care	$7,303 - $14,605	200%
Usa Managed Care Network	$7,303 - $14,605	200%
Zelis	$7,303 - $14,605	200%
Cigna	$7,765 - $15,530	212%

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 $3,570.
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 Ochsner St Anne General 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.