CMS Price Transparency Data

Inguinal hernia repair

Facility: Emory Rehabilitation Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$2,259

about 0.6× the $3,658 Medicare rate · typically $640–$5,784

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,611

Well above the fair price

about $3,352 over the fair price · 1.5× Medicare

Medicare pays $3,658 Fair price $2,259 This hospital $5,611 Cash price $8,405 Hospital's list price $8,405

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $375 Priciest $5,611

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 $2,259 (about 0.6× the $3,658 Medicare rate). Emory Rehabilitation Hospital charges insurers about $5,611, or about $8,405 in cash — well above the fair price. Located in Atlanta, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,259. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$7,870	215%
Blue Cross Blue Shieldmajor	$3,515 - $5,843	96%
Aetnamajor	$4,817	132%
Cignamajor	$6,803	186%
Humanamajor	$7,175	196%
Kaiser Permanentemajor	$4,743	130%
Ambetter (Centene)	$3,263	89%
Oscar Health	$5,611	153%

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 8,405), 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 Emory Rehabilitation 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 Emory Rehabilitation Hospital

Compare: Inguinal hernia repair at other GA hospitals

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