CMS Price Transparency Data

Inguinal hernia repair

Facility: University of Arkansas Medical Sciences

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $5,674
Cash Discount Price: $3,051
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at University of Arkansas Medical Sciences is $5,674. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,051. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.55x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$3,051

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,674

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: $3,051 (83%)

Insurance Median: $5,674 (155%)

Cash: $3,051 (83% of Medicare)

Ins. Median: $5,674 (155% 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	$2,025 - $5,903	55%
Triwest	$3,247 - $5,506	89%
Medicare (plans)	$3,348 - $5,790	92%
Va	$3,348 - $5,676	92%
Aetna	$3,381 - $5,733	92%
Tribute Health	$3,381 - $5,733	92%
Wellcare By Allwell	$3,415 - $5,790	93%
Wellcare Non	$3,415 - $5,790	93%
Blue Cross Blue Shield	$3,448 - $5,846	94%
Humana	$3,448 - $5,846	94%
Primewell Health Services	$3,448 - $15,950	94%
UnitedHealthcare	$3,448 - $5,846	94%
Essence Healthcare	$3,481 - $5,903	95%
Devoted Health Plan	$3,515 - $5,960	96%
Health Advantage	$4,503	123%
Ambetter / Centene	$4,921 - $8,344	135%
Northwest Health Plan	$5,674 - $9,621	155%
Qualchoice Novasys	$5,674 - $9,621	155%
Vantos	$5,691 - $9,649	156%

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 $3,051.
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 University of Arkansas Medical Sciences 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.