CMS Price Transparency Data

Inguinal hernia repair

Facility: Singing River Gulfport

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,304
Cash Discount Price: $2,730
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Singing River Gulfport is $3,304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,730. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.90x the Medicare baseline. Located in 15200 Community Road, Gulfport, MS.

Cash / Self-Pay

$2,730

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,304

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: $2,730 (75%)

Insurance Median: $3,304 (90%)

Cash: $2,730 (75% of Medicare)

Ins. Median: $3,304 (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
Cigna	$1,189 - $9,277	33%
Aetna	$1,765 - $3,257	48%
UnitedHealthcare	$3,072 - $5,109	84%
Humana	$3,133 - $3,257	86%
Blue Cross Blue Shield	$3,164 - $3,289	86%
Molina Healthcare Of Ms	$3,193 - $4,915	87%
Shared Health	$3,225 - $3,353	88%
Wellcare	$3,225 - $3,353	88%
Molina	$3,257	89%
Singing River Health System Employees	$3,672 - $3,791	100%
Ambetter / Centene	$4,608 - $4,790	126%
Mississippi Physicians Care Network	$5,529	151%
First Choice	$5,588	153%
Mississippi Physician'S Care Network	$5,748	157%
90 Degree Benefits	$5,836 - $6,067	160%
First Choice Preferred Pricing	$5,908	162%

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 $2,730.
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 Singing River Gulfport 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.