CMS Price Transparency Data

Inguinal hernia repair

Facility: Grady Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,160

about 1.1× the $3,658 Medicare rate · typically $1,170–$5,208

modeled estimate · not a bill or quote

What this hospital charges insurers

$785

Below the fair price — a good deal

about $3,375 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $4,160 This hospital $785

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $375 Priciest $1,309

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

A fair price for a Inguinal hernia repair is about $4,160 (about 1.1× the $3,658 Medicare rate). Grady Memorial Hospital charges insurers about $785 — below the fair price — a good deal. Located in Atlanta, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor	$84 - $5,400	2%
Blue Cross Blue Shieldmajor	$84 - $6,850	2%
Aetnamajor	$84 - $3,923	2%
Cignamajor	$84 - $4,877	2%
Humanamajor	$84 - $3,511	2%
Kaiser Permanentemajor	$84 - $3,511	2%
Ambetter (Centene)	$84 - $3,511	2%
Amerigroup	$58 - $546	2%
CareSource	$58 - $5,618	2%
Clover Health	$88 - $3,687	2%
Oscar Health	$118 - $5,823	3%
WellCare	$84 - $3,511	2%
+ 1 smaller / regional plan	$88 - $3,687

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Grady Memorial Hospital 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 Grady Memorial Hospital

Compare: Inguinal hernia repair at other GA hospitals

Bacon County Hospital · Alma $375
Atrium Health Navicent Peach · Byron $603
Shepherd Center, Inc. · Atlanta $635
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
Northside Hospital Forsyth · Cumming $1,309

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