CMS Price Transparency Data

Inguinal hernia repair

Facility: Ochsner Rush Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,276
Cash Discount Price: $3,731
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Ochsner Rush Hospital is $3,276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,731. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.90x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$3,731

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,276

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: $3,731 (102%)

Insurance Median: $3,276 (90%)

Cash: $3,731 (102% of Medicare)

Ins. Median: $3,276 (90% 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
Medicaid / KanCare	$2,563 - $2,691	70%
Cigna	$2,704 - $3,228	74%
Humana	$2,970 - $3,228	81%
UnitedHealthcare	$3,081 - $3,228	84%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$3,228	88%
Medicare (plans)	$3,228 - $3,712	88%
Shared Health Mississippi	$3,389	93%
Ambetter / Centene	$4,519	124%
Zelis	$5,326	146%
Blue Cross Blue Shield	$5,333 - $5,872	146%
Prime Health Services Ppo -Workers Comp	$5,430	148%
Cor Vel	$5,545	152%
Primewell Health Services Commercial Exchange Plan	$9,038	247%
Primewell Health Services – Commercial	$9,038	247%

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 $3,731.
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 Rush 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.