CMS Price Transparency Data

Inguinal hernia repair

Facility: South Lincoln Medical Center - Cah

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $5,794
Cash Discount Price: $3,027
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at South Lincoln Medical Center - Cah is $5,794. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,027. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.58x the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.

Cash / Self-Pay

$3,027

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,794

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: $3,027 (83%)

Insurance Median: $5,794 (158%)

Cash: $3,027 (83% of Medicare)

Ins. Median: $5,794 (158% 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
Aetna	$490 - $6,115	13%
Blue Cross Blue Shield	$490 - $5,407	13%
Humana	$490 - $3,347	13%
UnitedHealthcare	$588 - $5,794	16%
Health Infonet/First Choice - All Plans	$1,552 - $6,115	42%
Altius Health Plans - All Plans	$5,794	158%
Cigna	$5,794	158%
Great West Healthcare - All Plans	$5,794	158%
Integrated Hp - All Plans	$5,794	158%
Winhealth Partners - All Plans	$5,794	158%
Ccn - All Plans	$6,115	167%
Geha - All Plans	$6,115	167%
Three Rivers - All Plans	$6,115	167%

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 $3,027.
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 South Lincoln Medical Center - Cah 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.