CMS Price Transparency Data

Inguinal hernia repair

Facility: Atrium Health Navicent the Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,056

about 0.6× the $3,658 Medicare rate · typically $1,200–$3,424

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,160

Below the fair price — a good deal

about $896 under the fair price · 0.3× Medicare

Medicare pays $3,658 Fair price $2,056 This hospital $1,160 Cash price $3,618 Hospital's list price $7,235

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

On the higher side — 6 of 8 other GA hospitals charge less.

Cheapest $375 Priciest $1,309

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $2,056 (about 0.6× the $3,658 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $1,160, or about $3,618 in cash — below the fair price — a good deal. Located in Macon, 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	$501 - $3,439	14%
Blue Cross Blue Shieldmajor	$501 - $3,464	14%
Aetnamajor	$501 - $5,079	14%
Cignamajor	$838 - $4,761	23%
Humanamajor	$501 - $4,970	14%
Kaiser Permanentemajor	$1,122 - $4,703	31%
Ambetter (Centene)	$676 - $3,690	18%
Clover Health	$511 - $3,507	14%
+ 9 smaller / regional plans	$501 - $6,729

Excludes 2 rental-network / third-party entries (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 (about 3,618), 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 Atrium Health Navicent the Medical Center 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 Atrium Health Navicent the 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 Rehabilitation Hopsital · Macon $1,198
Northside Hospital Forsyth · Cumming $1,309

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