Inguinal hernia repair
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $1,834
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.50x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $1,834 | 50% |
Consumer Guidance & Cost Commentary
For the Inguinal hernia repair procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rate with Aetna is $1,834. This amount is significantly lower than the Medicare benchmark of $3,657.95, which serves as the federal baseline for the true cost of care. While the data does not provide a specific cash or self-pay price to compare directly against this negotiated rate, patients should be aware that cash-pay options can sometimes be cheaper than insurance negotiated rates, particularly for those with high-deductible plans. It is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
This pricing information is based on a 2026-06 vintage dataset reflecting one payer plan. Because the facility is a Part A provider, patients should understand that balance billing is generally prohibited for emergency services and non-emergency care from out-of-network providers at in-network facilities under the No Surprises Act. If you receive a bill that appears to include charges beyond the negotiated amount, you should request a formal itemized billing audit to identify any errors, unbundled codes, or services not rendered. Disputing these charges in writing is often more effective than verbal negotiations, ensuring you are only paying for the actual care received at a fair price.