CMS Price Transparency Data

Inguinal hernia repair

Facility: PAM Health Rehabilitation Hospital of Surprise

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$929

about 0.3× the $3,658 Medicare rate · typically $429–$4,454

modeled estimate · not a bill or quote

What this hospital charges insurers

$481

Below the fair price — a good deal

about $448 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $929 This hospital $481

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $481 Priciest $2,308

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

A fair price for a Inguinal hernia repair is about $929 (about 0.3× the $3,658 Medicare rate). PAM Health Rehabilitation Hospital of Surprise charges insurers about $481 — below the fair price — a good deal. Located in Surprise, AZ.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor	$481	13%

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, 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 PAM Health Rehabilitation Hospital of Surprise 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 PAM Health Rehabilitation Hospital of Surprise

Compare: Inguinal hernia repair at other AZ hospitals

Chandler Regional Medical Center · Chandler $514
Yuma Regional Medical Center · Yuma $548
Kingman Regional Medical Center · Kingman $748
Yavapai Regional Medical Center · Prescott $1,077
St. Mary's Hospital · Tucson $1,910
Abrazo Arrowhead Hospital · Glendale $2,134
Abrazo Scottsdale Campus · Phoenix $2,247
Banner - University Medical Center Phoenix · Phoenix $2,308

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