CMS Price Transparency Data

Inguinal hernia repair

Facility: Henry Ford Allegiance Health

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 49505
  • Insurance Median: $503
  • Cash Discount Price: $707
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Henry Ford Allegiance Health is $503. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $707. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.14x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$707

Average discount available for prompt cash payment at this facility.

Insurance Median
$503

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: $707 (19%)
Insurance Median: $503 (14%)
Cash: $707 (19% of Medicare)
Ins. Median: $503 (14% 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.

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
Blue Cross Blue Shield $270 - $16,876 7%
Hap Caresource $270 - $3,565 7%
Mclaren $270 7%
Meridian Health Plan Of Mi $270 - $4,813 7%
Priority Health $270 - $4,843 7%
Aetna $283 - $3,565 8%
Mclaren Health Plan Inc. $340 - $503 9%
Meridian $340 9%
Molina $353 - $2,043 10%
Priority $356 - $503 10%
Humana $421 - $3,637 12%
Hap $428 - $3,601 12%
Bcn $503 - $3,565 14%
Cca Health Mi $503 14%
Health Alliance Plan Of Michigan $503 14%
Thomas Pace $503 - $3,565 14%
Vaccn $512 14%
United Behavioral Health, Inc. $560 15%
Vitalcore Physicians Group Of Mi $654 - $7,953 18%
Cigna $771 21%
Cofinity $873 24%
Frontpath $1,584 43%
Molina Mi Health Link $3,140 86%
UnitedHealthcare $3,140 - $3,565 86%
Veterans Evaluation Services $3,241 89%
Cca Health Michigan $3,565 97%
Mclaren Health $3,565 97%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals