Inguinal hernia repair, patient over 5 years old at East Cooper Medical Center LLC

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

PRP I/HERN INIT REDUC >5 YR

Mt Pleasant, SC

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Pricing by billing methodology

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How this price compares nationally

East Cooper Medical Center LLC’s median price of $3.5k is 10% below the median hospital's median price ($3.9k), higher than 35% of the 2,152 hospitals reporting CPT 49505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 49505 at East Cooper Medical Center LLC

Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana medicaid fee schedule · outpatient	$1,339	$1,339	$1,339 – $1,339
2	Molina medicaid fee schedule · outpatient	$1,339	$1,339	$1,339 – $1,339
3	Bcbs Sc state health plan fee schedule · outpatient	$1,926	$1,926	$1,926 – $1,926
4	Aetna medicare advantage fee schedule · outpatient	$3,330	$3,330	$3,330 – $3,330
5	Devoted hmo ma fee schedule · outpatient	$3,330	$3,330	$3,330 – $3,330
6	Devoted ppo ma fee schedule · outpatient	$3,330	$3,330	$3,330 – $3,330
7	Humana medicare advantage fee schedule · outpatient	$3,330	$3,330	$3,330 – $3,330
8	UnitedHealthcare medicare advantage fee schedule · outpatient	$3,363	$3,363	$3,363 – $3,363
9	Molina medicare advantage fee schedule · outpatient	$3,397	$3,397	$3,397 – $3,397
10	Molina mmp fee schedule · outpatient	$3,397	$3,397	$3,397 – $3,397
11	Cigna healthspring fee schedule · outpatient	$3,430	$3,430	$3,430 – $3,430
12	Clover hmo ma fee schedule · outpatient	$3,463	$3,463	$3,463 – $3,463
13	Clover ppo ma fee schedule · outpatient	$3,463	$3,463	$3,463 – $3,463
14	Molina marketplace fee schedule · outpatient	$4,829	$4,829	$4,829 – $4,829
15	Bcbs Sc blue choice blue option hix (bcbo) fee schedule · outpatient	$5,411	$5,411	$5,411 – $5,411
16	Bcbs Sc blue cross blue essentials hix (bcbe) fee schedule · outpatient	$5,411	$5,411	$5,411 – $5,411
17	UnitedHealthcare exchange plan case rate · outpatient	$7,010	$7,010	$7,010 – $7,010
18	Cigna hmoopa case rate · outpatient	$10,055	$10,055	$10,055 – $10,055
19	Bcbs Sc blue choice health plan commercial (bchp) fee schedule · outpatient	$10,189	$10,189	$10,189 – $10,189
20	Bcbs Sc preferred blue commercial (pb) fee schedule · outpatient	$10,189	$10,189	$10,189 – $10,189
21	Cigna ppo case rate · outpatient	$11,060	$11,060	$11,060 – $11,060
22	UnitedHealthcare all other plans case rate · outpatient	$12,271	$12,271	$12,271 – $12,271
23	UnitedHealthcare options ppo case rate · outpatient	$15,611	$15,611	$15,611 – $15,611

Last updated: Mar 12, 2026

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