CMS Price Transparency Data

Inguinal hernia repair

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $844
Cash Discount Price: $737
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Medical West, An Affiliate of UAB Health System is $844. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $737. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.23x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$737

Average discount available for prompt cash payment at this facility.

Insurance Median

$844

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,657.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,657.95 (100%)

Cash / Self-Pay: $737 (20%)

Insurance Median: $844 (23%)

Cash: $737 (20% of Medicare)

Ins. Median: $844 (23% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,657.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$241 - $3,406	7%
Viva	$492 - $3,766	13%
Phcs	$590 - $688	16%
Beech Street	$609 - $688	17%
One Health Plan	$639	17%
Aetna	$688 - $3,275	19%
Geha	$688	19%
Healthchoice	$688	19%
Alamed	$770	21%
Construction Claims Management	$795	22%
Multiplan	$806	22%
Corvel	$812 - $885	22%
Novanet	$821	22%
Humana	$836 - $3,471	23%
UnitedHealthcare	$844 - $3,602	23%
Department Of Labor	$855	23%
Heritage Summit Health	$855	23%
Pnoa	$885	24%
Three Rivers	$885	24%
Blue Cross Blue Shield	$3,242	89%
Cooper Green	$3,275	90%
Jefferson County Sheriff	$3,275	90%
Triwest	$3,275	90%
United Mine Workers	$3,275	90%
Ambetter / Centene	$4,503	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $737.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 49505.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 49505.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.