CMS Price Transparency Data
Inguinal hernia repair
Facility: Phoebe Sumter Medical Center
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,831
about 1.0× the $3,658 Medicare rate · typically $2,633–$6,323
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $3,831 Cash price $1,043 Hospital's list price $1,738
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 | $3,200 - $4,863 | 87% |
| Ambetter (Centene) | $5,491 | 150% |
| Clover Health | $3,232 | 88% |
| + 2 smaller / regional plans | $3,294 - $4,549 |
Self-Pay How to get the cash price
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Other Procedures at Phoebe Sumter Medical Center
Compare: Inguinal hernia repair at other GA hospitals
- Bacon County Hospital · Alma $375
- Atrium Health Navicent Peach · Byron $603
- Shepherd Center, Inc. · Atlanta $635
- Grady Memorial Hospital · Atlanta $785
- Navicent Health Baldwin · Milledgeville $1,022
- Northside Hospital Duluth · Duluth $1,104
- Atrium Health Navicent the Medical Center · Macon $1,160
- Atrium Health Navicent Rehabilitation Hopsital · Macon $1,198
Insurance negotiated median for the same procedure, sorted lowest first.