CMS Price Transparency Data

Inguinal hernia repair

Facility: Kingman Regional Medical Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $865
Cash Discount Price: $602
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Kingman Regional Medical Center is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $602. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.24x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$602

Average discount available for prompt cash payment at this facility.

Insurance Median

$865

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: $602 (16%)

Insurance Median: $865 (24%)

Cash: $602 (16% of Medicare)

Ins. Median: $865 (24% 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
Health Choice Generations	$493	13%
Hpn Sierra Nevada Mcr Adv	$493	13%
Medicare (plans)	$493	13%
Triwest - All Plans	$493	13%
Care 1St Mcr Adv-All Other Plans	$517	14%
Humana	$522 - $758	14%
Apipa - Ahcccs-All Other Plans	$540	15%
Health Choice Az	$540	15%
Mercy Care Adv Snp-All Other Plans	$542	15%
Care 1St Mcaid	$567	16%
UnitedHealthcare	$593 - $865	16%
Mercy Care Ahcccs Ddd	$594	16%
Geo Group Chc Az State Prison-All Plans	$739	20%
Aetna	$764	21%
Health Plan Of Nevada-All Other Plans	$764	21%
Cigna	$815	22%
Health Choice Hie Exchange	$837	23%
Multiplan-All Plans	$837	23%
Blue Cross Blue Shield	$873	24%
Health Choice- All Other Plans	$1,231	34%
Three Rivers-All Plans	$1,493 - $1,991	41%
America'S Choice Provider Network-All Plans	$1,542 - $2,056	42%
Az Foundation-All Plans	$1,623 - $2,164	44%
Mediversal-All Plans	$1,623 - $2,164	44%
One Health Plan-All Plans	$1,623 - $2,164	44%
Universal Health-All Plans	$1,623 - $2,164	44%

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 $602.
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 Kingman Regional Medical Center 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.