CMS Price Transparency Data

Inguinal hernia repair

Facility: Kearney County Health Services Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,672
Cash Discount Price: $4,537
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Kearney County Health Services Hospital is $3,672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,537. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.00x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$4,537

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,672

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: $4,537 (124%)

Insurance Median: $3,672 (100%)

Cash: $4,537 (124% of Medicare)

Ins. Median: $3,672 (100% 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
Blue Cross Blue Shield	$573 - $5,608	16%
Medica	$573 - $19,986	16%
Humana	$630 - $5,608	17%
UnitedHealthcare	$630 - $9,687	17%
Total Care	$636 - $5,777	17%
Aetna	$661 - $19,374	18%
Great Plains	$661 - $5,889	18%
Healthy Blue	$661 - $5,889	18%
Multiplan	$1,122 - $9,993	31%
Healthnet	$1,145 - $10,197	31%
Triwest	$1,145 - $10,197	31%
Molina	$1,179 - $10,503	32%
Private Healthcare Systems And Multiplan	$1,883 - $16,769	51%

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 $4,537.
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 Kearney County Health Services 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.