CMS Price Transparency Data

Inguinal hernia repair

Facility: Atrium Health University City

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$643

about 0.2× the $3,658 Medicare rate · typically $480–$1,541

modeled estimate · not a bill or quote

What this hospital charges insurers

$480

Below the fair price — a good deal

about $163 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $643 This hospital $480

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 0 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $375 Priciest $480

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

A fair price for a Inguinal hernia repair is about $643 (about 0.2× the $3,658 Medicare rate). Atrium Health University City charges insurers about $480 — below the fair price — a good deal. Located in Charlotte, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$372 - $3,535	10%
Aetnamajor	$496 - $3,474	14%
Cignamajor	$480 - $3,524	13%
Humanamajor	$489 - $3,424	13%
AmeriHealth	$372	10%
WellCare	$372	10%
+ 7 smaller / regional plans	$368 - $4,196

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, 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 University City 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 University City

Compare: Inguinal hernia repair at other NC hospitals

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