Inguinal hernia repair, patient over 5 years old

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible

Payers reporting CPT 49505

68 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +32 other terms	627	$3,534	$4,417	$1.47 – $103,707
2	Aetna fee schedule · outpatient · +32 other terms	570	$3,837	$4,605	$19.59 – $47,967
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	446	$4,484	$5,865	$1.00 – $41,400
4	Humana fee schedule · outpatient · +27 other terms	433	$3,502	$3,133	$1.00 – $16,666
5	Cigna case rate · outpatient · +29 other terms	365	$6,802	$7,648	$82.00 – $40,673
6	Molina fee schedule · outpatient · +28 other terms	275	$2,678	$2,503	$1.00 – $10,151
7	WellCare fee schedule · outpatient · +22 other terms	215	$3,705	$3,654	$92.63 – $8,271
8	Anthem fee schedule · outpatient · +27 other terms	148	$3,362	$3,148	$247.52 – $26,200
9	Oscar case rate · outpatient · +24 other terms	136	$7,168	$6,758	$3,058 – $13,753
10	Ambetter fee schedule · outpatient · +21 other terms	102	$5,684	$5,261	$223.15 – $13,775
11	Kaiser fee schedule · outpatient · +24 other terms	102	$4,484	$4,334	$35.00 – $27,857
12	Aetna Better Health fee schedule · outpatient · +13 other terms	84	$1,454	$1,783	$493.45 – $12,793
13	Devoted facility · fee schedule · outpatient · +16 other terms	84	$3,387	$3,432	$98.16 – $10,862
14	Healthcare Highways case rate · outpatient · +2 other terms	76	$5,126	$5,446	$2,671 – $6,287
15	Tricare fee schedule · outpatient · +22 other terms	76	$3,579	$3,554	$486.97 – $5,480
16	Caresource fee schedule · outpatient · +18 other terms	72	$3,409	$2,877	$252.48 – $6,254
17	Highmark facility · fee schedule · outpatient · +17 other terms	68	$4,092	$4,060	$4.92 – $15,979
18	MultiPlan fee schedule · outpatient · +22 other terms	52	$5,167	$5,136	$492.00 – $13,733
19	Optum professional · fee schedule · outpatient · +23 other terms	48	$216.33	$203.53	$35.38 – $750.72
20	Superior Healthplan case rate · outpatient · +4 other terms	46	$2,369	$2,432	$2,323 – $5,302
21	Regence professional · fee schedule · outpatient · +18 other terms	45	$323.44	$285.75	$35.38 – $1,858
22	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	41	$444.50	$1,861	$71.12 – $8,039
23	Medica professional · fee schedule · outpatient · +21 other terms	41	$198.71	$214.23	$35.38 – $1,359
24	First Health fee schedule · outpatient · +23 other terms	38	$3,739	$3,842	$501.36 – $16,328
25	Ucare professional · fee schedule · outpatient · +20 other terms	38	$163.04	$155.64	$25.92 – $612.51

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