CMS Price Transparency Data

Inguinal hernia repair

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,327

about 0.9× the $3,658 Medicare rate · typically $2,875–$3,538

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,535

About the fair price

about $208 over the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $3,327 This hospital $3,535

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $498 Priciest $3,535

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $3,327 (about 0.9× the $3,658 Medicare rate). Christus Southeast Texas- St Elizabeth charges insurers about $3,535 — about the fair price. Located in Beaumont, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$562 - $9,668	15%
Blue Cross Blue Shieldmajor	$3,535 - $5,317	97%
Aetnamajor	$2,647 - $3,535	72%
Cignamajor	$5,960 - $8,164	163%
Humanamajor	$2,885 - $3,535	79%
Amerigroup	$1,209 - $3,818	33%
Cigna HealthSpring	$3,535	97%
Devoted Health	$3,818	104%
Healthcare Highways	$4,773	130%
Molina	$1,209 - $3,535	33%
WellCare	$3,535	97%
+ 16 smaller / regional plans	$1,152 - $7,070

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Christus Southeast Texas- St Elizabeth is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Christus Southeast Texas- St Elizabeth

Compare: Inguinal hernia repair at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.