CMS Price Transparency Data

Inguinal hernia repair

Facility: Fhn Memorial Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $1,502
Cash Discount Price: $1,240
vs. Medicare Baseline: 0.41x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Fhn Memorial Hospital is $1,502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,240. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.41x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$1,240

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,502

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: $1,240 (34%)

Insurance Median: $1,502 (41%)

Cash: $1,240 (34% of Medicare)

Ins. Median: $1,502 (41% 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
Aetna	$266 - $3,837	7%
The Alliance - All Plans	$286 - $2,144	8%
Ecoh Nihp	$301 - $2,253	8%
Nihp Employ - All Plans	$301 - $2,253	8%
Quartz - All Other Plans	$310 - $2,324	8%
Blue Cross Blue Shield	$322 - $2,414	9%
Ecoh - All Other Plans	$324 - $2,432	9%
Northern Il Hp - All Plans	$329 - $2,467	9%
First Health - All Plans	$335 - $2,514	9%
UnitedHealthcare	$372 - $3,875	10%
Humana	$377 - $3,837	10%
Hfn - All Plans	$391 - $2,932	11%
First Choice Il - All Plans	$405 - $3,040	11%
Multiplan Phcs - All Plans	$405 - $3,040	11%
Wps - All Plans	$417 - $3,125	11%
Galaxy - All Plans	$429 - $3,218	12%
Health Alliance - All Other Plans	$429 - $3,218	12%
Interplan Health - All Plans	$429 - $3,218	12%
Preferred Plan Ppo - All Plans	$429 - $3,218	12%
Trustmark - All Plans	$439 - $3,290	12%
Midland Choice - All Plans	$453 - $3,397	12%
Osf Healthplans - All Plans	$477 - $3,576	13%
Meridian Health Plan - All Plans	$3,054	83%
Health Alliance Mcr Adv	$3,837	105%
Quartz Mcr Adv	$3,837	105%

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 $1,240.
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 Fhn Memorial Hospital 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.