CMS Price Transparency Data

Inguinal hernia repair

Facility: Gadsden Regional Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,243

about 0.9× the $3,658 Medicare rate · typically $3,227–$3,245

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,243

About the fair price

0.9× Medicare

Medicare pays $3,658 Fair price $3,243 This hospital $3,243 Cash price $14,816 Hospital's list price $123,468

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $508 Priciest $3,243

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $3,243 (about 0.9× the $3,658 Medicare rate). Gadsden Regional Medical Center charges insurers about $3,243, or about $14,816 in cash — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,211 - $9,921	88%
Blue Cross Blue Shieldmajor	$3,160	86%
Aetnamajor	$3,254 - $63,956	89%
Cignamajor	$3,223 - $18,974	88%
Humanamajor	$3,160	86%
Ambetter (Centene)	$4,817	132%
Clover Health	$3,243	89%
Devoted Health	$3,223	88%
SelectHealth	$3,192	87%
WellCare	$3,276	90%
+ 12 smaller / regional plans	$3,160 - $94,453

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 14,816), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Gadsden Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Gadsden Regional Medical Center

Compare: Inguinal hernia repair at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.