CMS Price Transparency Data

Inguinal hernia repair

Facility: Adventist Health Bakersfield

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $554
Cash Discount Price: $155
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Adventist Health Bakersfield is $554. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.15x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$554

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: $155 (4%)

Insurance Median: $554 (15%)

Cash: $155 (4% of Medicare)

Ins. Median: $554 (15% 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
Bc Medi-Cal	$65	2%
Medi-Cal	$65	2%
Universal Hc Mcal Profee Only	$65	2%
Kern Health Systems Mcal	$92	3%
Aetna	$467	13%
Blue Shield Mcr Adv	$503	14%
Fhcn Pace Mcr Adv - All Plans	$503	14%
Gem Care- All Plans	$503	14%
Healthnet Mcr Adv	$503	14%
Kern Legacy Share Select	$503	14%
Oscar - All Plans	$503	14%
Premier Physician Alliance Profee Only-All Plans	$503	14%
UnitedHealthcare	$503 - $691	14%
County Of Kern - All Plans	$554	15%
Employee Health Plan - All Plans	$554	15%
Kern Legacy Hp Epo - All Other Plans	$554	15%
Cigna	$650	18%
Network Provdrs Llc Mcare -All Payers	$655	18%
Western Growers/Pinnacle- All Plans	$700	19%
Blue Shield Epn	$706	19%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans	$734	20%
Blue Shield Epo/Ppo	$746	20%
Blue Shield Hmo/Pos - All Other Plans	$746	20%
Centivo - All Plans	$755	21%
Blue Cross Blue Shield	$919	25%
Universal Health Plan Mcare-All Other Plans	$4,605	126%

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 $155.
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 Adventist Health Bakersfield 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.