CMS Price Transparency Data

Inguinal hernia repair

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $1,853
Cash Discount Price: $2,075
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Mary Hitchcock Memorial Hospital is $1,853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,075. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.51x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$2,075

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,853

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: $2,075 (57%)

Insurance Median: $1,853 (51%)

Cash: $2,075 (57% of Medicare)

Ins. Median: $1,853 (51% 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
Granite State Health Plan	$257 - $854	7%
Harvard Pilgrim Health Care Of Ne	$384 - $12,763	10%
Blue Cross Blue Shield	$418 - $15,366	11%
Martin'S Point Generations Advantage	$418 - $3,949	11%
Mvp	$418 - $4,543	11%
UnitedHealthcare	$418 - $9,566	11%
Martin'S Point Health Care	$426 - $3,949	12%
Aetna	$430 - $4,760	12%
Cigna	$430 - $9,398	12%
Wellsense Health Plan	$430 - $4,147	12%
Wellcare Health Plans	$434 - $4,107	12%
Ambetter / Centene	$439 - $8,496	12%
Amerihealth Caritas Nh	$459 - $768	13%
Beacon Health Strategies/Carelon	$459 - $828	13%
Mass General Brigham Health Plan	$1,428 - $4,218	39%
Tufts Health Plan	$1,745 - $3,956	48%
Maine Community Health Options	$4,320 - $4,984	118%
Coventry	$5,899	161%
First Health/Hcvm	$5,899	161%
Phcs	$6,103	167%
Corvel	$6,239	171%
Ccmsi	$6,442	176%

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 $2,075.
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 Mary Hitchcock Memorial 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.