Inguinal hernia repair, patient over 5 years old at Hilton Head 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

Hilton Head Island, SC

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Pricing by billing methodology

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How this price compares nationally

Hilton Head Medical Center LLC’s median price of $3.4k is 11% below the median hospital's median price ($3.9k), higher than 33% 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 Hilton Head Medical Center LLC

Negotiated rates from the hospital’s own file: 8 payers, 21 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	$3,330	$3,330	$3,330 – $3,330
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	$5,828	$5,828	$5,828 – $5,828
15	Bcbs Sc blue choice blue option hix (bcbo) fee schedule · outpatient	$5,905	$5,905	$5,905 – $5,905
16	Bcbs Sc blue cross blue essentials hix (bcbe) fee schedule · outpatient	$5,905	$5,905	$5,905 – $5,905
17	Bcbs Sc blue choice health plan commercial (bchp) fee schedule · outpatient	$10,702	$10,702	$10,702 – $10,702
18	Bcbs Sc preferred blue commercial (pb) fee schedule · outpatient	$10,702	$10,702	$10,702 – $10,702
19	UnitedHealthcare exchange case rate · outpatient	$11,523	$11,523	$11,523 – $11,523
20	UnitedHealthcare all other plans case rate · outpatient	$23,893	$23,893	$23,893 – $23,893
21	UnitedHealthcare options ppo case rate · outpatient	$30,105	$30,105	$30,105 – $30,105

Last updated: Mar 12, 2026

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