Inguinal hernia repair
Facility: Knapp Medical Center
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $3,579
- Cash Discount Price: $3,579
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Corvel | $2,505 | 68% |
| Zelis Healthcare Fka Stratose | $2,684 | 73% |
| Provider Network Of America | $2,863 | 78% |
| Provider Select | $3,132 | 86% |
| Three Rivers | $3,221 | 88% |
| Blue Cross Blue Shield | $3,451 - $4,042 | 94% |
| Americas Choice Provider Network (Acpn) | $3,472 | 95% |
| Division Of Immigration Health | $3,508 | 96% |
| Cigna | $3,579 - $3,686 | 98% |
| Coventry (First Health) | $3,579 | 98% |
| Medicare (plans) | $3,579 | 98% |
| Prime Health Services | $3,579 | 98% |
| Superior Health Plan | $3,579 - $4,653 | 98% |
| Texas Bluebonnet Health Plan | $3,579 - $5,906 | 98% |
| Tricare | $3,579 | 98% |
| UnitedHealthcare | $3,579 | 98% |
| Veterans Evaluation Services | $3,579 | 98% |
| Wellmed Aarp Ma Fka Physicians Health Choice | $3,579 | 98% |
| Worker Comp | $3,579 | 98% |
| Molina | $3,758 - $5,548 | 103% |
| Multiplan | $3,758 | 103% |
| Provider Partners Health Plan | $3,758 | 103% |
| Imperial Insurance Companies | $3,794 | 104% |
| Texas Oncology Pa Op | $4,474 | 122% |
| Frontier Health (Fka Asserta Health) | $4,653 | 127% |
| Magic Valley Electric Cooperative | $4,653 | 127% |
| Employer Direct Healthcare | $5,011 | 137% |
| Corporate Remedies (Wc) | $5,369 | 147% |
| Naphcare | $5,548 | 152% |
| Occunet | $6,263 | 171% |
| Baker Benefits Administrators | $7,158 | 196% |