Inguinal hernia repair
Facility: Ohio Valley Surgical Hospital
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $3,363
- Cash Discount Price: $10,111
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Meritain Heatlh | $631 | 17% |
| Genworth | $631 | 17% |
| Personify Health | $631 | 17% |
| Mail Handlers | $631 | 17% |
| Nippon Life | $631 | 17% |
| Geha | $631 | 17% |
| Mhbp | $631 | 17% |
| Pacific Source | $631 | 17% |
| Aetna | $631 - $3,363 | 17% |
| Meritain | $631 | 17% |
| Ngs Coresource | $631 | 17% |
| American Continental Insurance | $3,363 | 92% |
| Everest | $3,363 | 92% |
| Communicare Advantage | $3,363 | 92% |
| Wraparound Pl Supp | $3,363 | 92% |
| Molina | $3,363 | 92% |
| Mmoh | $3,363 - $10,617 | 92% |
| Gateway Health Plan | $3,363 | 92% |
| Bankers Fidelity | $3,363 | 92% |
| Molina McR McD | $3,363 | 92% |
| UnitedHealthcare | $3,363 - $4,494 | 92% |
| Prosperity Supplement | $3,363 | 92% |
| Medicare (plans) | $3,363 - $10,111 | 92% |
| Champus | $3,363 | 92% |
| Molina McR+McD | $3,363 | 92% |
| American Retirement | $3,363 | 92% |
| Molina Dual McR | $3,363 | 92% |
| Molina Marketplace | $3,363 | 92% |
| Aarp Supplemental | $3,363 | 92% |
| Cigna | $3,363 - $5,169 | 92% |
| Patient No Pay | $3,363 | 92% |
| Molina Dual McR | $3,363 | 92% |
| Bankers Life and Casualty | $3,363 | 92% |
| Central States | $3,363 | 92% |
| Blue Cross Blue Shield | $3,363 - $16,599 | 92% |
| Medigold | $3,363 | 92% |
| Molina McR | $3,363 | 92% |
| Wellcare By Allwell | $3,363 | 92% |
| Self Pay Imaging | $3,363 | 92% |
| American Continental Life | $3,363 | 92% |
| Humana | $3,363 | 92% |
| Aultcare Primetime Health Plan | $3,363 | 92% |
| Aarp | $3,363 | 92% |
| American Republic | $3,363 | 92% |
| The Health Plan | $3,532 | 97% |
| Employer Direct | $3,868 | 106% |
| Devoted Health | $3,986 | 109% |
| Caresource | $5,045 | 138% |
| Medicaid / KanCare | $5,045 | 138% |
| Caresourse | $5,045 | 138% |
| Healthgram | $5,169 | 141% |
| Unified Group | $5,169 | 141% |
| Nalc | $5,169 | 141% |
| Sbma | $5,169 | 141% |
| Samba | $5,169 | 141% |
| Mmoh (Supermed) | $7,836 | 214% |
| Mmo Cin. HMO | $10,617 | 290% |
| Medben | $15,167 | 415% |
| Luminare Health | $15,167 | 415% |
| Ohio Health | $15,167 | 415% |
| Preferred Health | $15,167 | 415% |