CMS Price Transparency Data

Inguinal hernia repair

Facility: University of Mississippi Med Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $6,051
Cash Discount Price: $3,687
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at University of Mississippi Med Center is $6,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,687. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.65x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$3,687

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,051

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: $3,687 (101%)

Insurance Median: $6,051 (165%)

Cash: $3,687 (101% of Medicare)

Ins. Median: $6,051 (165% 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
Ms-Can-Molina	$2,770	76%
Ms-Can-Magnolia	$2,797	76%
Ms-Can-Truecare	$2,824	77%
Medicare (plans)	$3,233	88%
Tricare	$3,233	88%
Va_Ccn	$3,233	88%
Medadv_Primewell	$3,330	91%
Medadv_Uhc	$3,330	91%
Medadv_Uhcdsnp	$3,330	91%
Wellcare	$3,330	91%
Humana	$3,362	92%
Cigna	$5,346	146%
Advhealth	$5,386	147%
Molina-Chip	$5,916	162%
Magnolia-Chip	$6,051	165%
Truecare-Chip	$6,051	165%
Blue Cross Blue Shield	$6,459	177%
Molina_Exchange	$6,950	190%
Ppoplus	$7,190	197%
Firsthealth	$7,374	202%
Multiplan	$7,374	202%
Mpcn	$7,638	209%
Aetna	$7,835	214%
Healthlink_Tupelo	$7,835	214%
Firstchoice	$8,082	221%
Firstchoice-Hum	$8,082	221%
Ambetter / Centene	$8,146	223%
Phcs	$8,296	227%
United	$8,974	245%
Primewell	$8,987	246%
United-Options	$9,218	252%

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 $3,687.
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 University of Mississippi Med Center 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.