CMS Price Transparency Data

Inguinal hernia repair

Facility: Medical Center Enterprise

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,122

about 0.9× the $3,658 Medicare rate · typically $3,122–$3,127

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,127

About the fair price

about $5 over the fair price · 0.9× Medicare

Medicare pays $3,658 Fair price $3,122 This hospital $3,127 Cash price $8,802 Hospital's list price $97,796

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

On the higher side — 7 of 8 other AL hospitals charge less.

Cheapest $508 Priciest $3,196

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

A fair price for a Inguinal hernia repair is about $3,122 (about 0.9× the $3,658 Medicare rate). Medical Center Enterprise charges insurers about $3,127, or about $8,802 in cash — about the fair price. Located in Enterprise, 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	$3,036 - $5,251	83%
Blue Cross Blue Shieldmajor	$3,036 - $4,625	83%
Aetnamajor	$3,127 - $68,457	85%
Cignamajor	$5,052 - $32,715	138%
Humanamajor	$3,036	83%
Ambetter (Centene)	$4,629	127%
Cigna HealthSpring	$3,097	85%
Clover Health	$3,117	85%
Devoted Health	$3,097	85%
SelectHealth	$3,067	84%
WellCare	$3,147	86%
+ 15 smaller / regional plans	$411 - $78,237

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

Excludes 5 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 8,802), 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 Medical Center Enterprise 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 Medical Center Enterprise

Compare: Inguinal hernia repair at other AL hospitals

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