CMS Price Transparency Data

Inguinal hernia repair

Facility: New London Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $961
Cash Discount Price: $998
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at New London Hospital is $961. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $998. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.26x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$998

Average discount available for prompt cash payment at this facility.

Insurance Median

$961

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: $998 (27%)

Insurance Median: $961 (26%)

Cash: $998 (27% of Medicare)

Ins. Median: $961 (26% 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	$308 - $1,102	8%
Wellsense Health Plan	$308 - $961	8%
Amerihealth Caritas Nh	$311 - $1,113	9%
Martin'S Point Health Care	$418 - $1,501	11%
Blue Cross Blue Shield	$531 - $9,876	15%
Aetna	$593 - $1,887	16%
Ambetter / Centene	$593 - $961	16%
Martin'S Point Generations Advantage	$593 - $961	16%
UnitedHealthcare	$593 - $1,708	16%
Wellcare Health Plans	$593 - $961	16%
Harvard Pilgrim Health Care Of Ne	$614 - $1,558	17%
Cigna	$711 - $1,479	19%
Tufts Health Plan	$1,510 - $1,572	41%
Coventry	$2,064	56%
Multiplan	$2,075	57%

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 $998.
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 New London 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.