CMS Price Transparency Data

Inguinal hernia repair

Facility: Comanche County Medical Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $6,653
Cash Discount Price: $7,722
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Comanche County Medical Center is $6,653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,722. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.82x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$7,722

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,653

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: $7,722 (211%)

Insurance Median: $6,653 (182%)

Cash: $7,722 (211% of Medicare)

Ins. Median: $6,653 (182% 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
Choicecare Comm - All Other Plans	$3,516 - $5,275	96%
Choicecare Mcr Adv	$3,516 - $5,275	96%
Humana	$3,516 - $9,979	96%
Molina Mcr Adv - All Other Plans	$3,516 - $5,275	96%
Pphp Mcr Adv - All Plans	$3,516 - $5,275	96%
Superior Epo/Hmo - All Plans	$3,516 - $5,275	96%
Swhp Mcr Adv	$3,516 - $5,275	96%
Wellmed Mcr Adv - All Plans	$3,516 - $5,275	96%
Cigna	$5,000	137%
Alliance Wc - All Plans	$5,275 - $7,912	144%
Aetna	$5,988 - $8,981	164%
Molina Mcaid	$5,988 - $8,981	164%
Swhp Mcaid	$5,988 - $8,981	164%
Blue Cross Blue Shield	$6,653 - $10,692	182%
Occunet - All Plans	$7,128 - $10,692	195%
Swhp Comm - All Other Plans	$7,603 - $11,405	208%
First Care Hmo - All Other Plans	$8,078 - $12,118	221%
First Care Hmo Self Funded	$8,078 - $12,118	221%
Mpi - All Plans	$8,554 - $12,830	234%

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 $7,722.
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 Comanche County Medical Center 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.