Inguinal hernia repair
Facility: Chilton Medical Center
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $4,095
- Cash Discount Price: $4,709
- vs. Medicare Baseline: 1.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wtc Health Program [5273] | $1,063 | 29% |
| Horizon Nj Health [5021] | $2,264 | 62% |
| Karen Ann Quinlan [5285] | $4,095 | 112% |
| Highmark Wholecare Health Plan Ip Splits [5464] | $4,095 | 112% |
| Tricare | $4,095 | 112% |
| Highmark Wholecare Health Plan [5413] | $4,095 | 112% |
| Claim Watcher/Homestead [5488] | $4,095 | 112% |
| Blue Cross Blue Shield | $4,095 | 112% |
| Claimdoc [5434] | $4,095 | 112% |
| Us Family Health Plan [5258] | $4,095 | 112% |
| Amerihealth Medigap [5049] | $4,095 | 112% |
| Medicare (plans) | $4,095 - $4,238 | 112% |
| Wellcare Health Plans [5269] | $4,095 | 112% |
| Sedgwick Wtc Health Program Wc [5514] | $4,095 | 112% |
| Wellcare Health Plans Ip Splits [5475] | $4,095 | 112% |
| Aetna | $4,095 - $5,733 | 112% |
| Ambetter / Centene | $4,095 | 112% |
| Wellcare Behavioral Health [5335] | $4,095 | 112% |
| UPMC [5455] | $4,095 | 112% |
| Champva [5354] | $4,095 | 112% |
| Amerihealth Administrators Supplemental [5512] | $4,095 | 112% |
| VA Community Care Network [5403] | $4,095 | 112% |
| Luminare Health AHS Retiree [5013] | $4,095 | 112% |
| Cigna | $4,095 | 112% |
| Fairos [5491] | $4,095 | 112% |
| Amerihealth Caritas Vip Care Ip Splits [5460] | $4,136 | 113% |
| Amerihealth Caritas Vip Care [5313] | $4,136 | 113% |
| Kindred Giralda Hospital [5341] | $4,504 | 123% |
| Amerihealth [5008] | $5,753 - $7,075 | 157% |
| Specialty Imaging [5433] | $6,907 | 189% |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | $6,907 | 189% |
| Medicaid / KanCare | $6,907 | 189% |
| Medlogix/Consumer Health Network Pip (Chn) [5414] | $8,983 | 246% |
| Zurich No Fault [5274] | $8,983 | 246% |
| Travelers No Fault [5249] | $8,983 | 246% |
| Geico No Fault [5120] | $8,983 | 246% |
| Progressive No Fault [5229] | $8,983 | 246% |
| Hanover No Fault [5129] | $8,983 | 246% |
| State Farm No Fault [5241] | $8,983 | 246% |
| Esurance No Fault [5105] | $8,983 | 246% |
| Nj Manufacturers No Fault [5203] | $8,983 | 246% |
| High Point No Fault [5146] | $8,983 | 246% |
| Allstate [5047] | $8,983 | 246% |
| Plymouth Rock Assurance No Fault [5222] | $8,983 | 246% |
| Liberty Mutual No Fault [5173] | $8,983 | 246% |
| Usaa No Fault [5260] | $8,983 | 246% |
| Kessler Foundation [5532] | $12,000 | 328% |