CMS Price Transparency Data

Inguinal hernia repair

Facility: Southern Hills Hospital and Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,191

about 0.9× the $3,658 Medicare rate · typically $1,304–$4,026

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,180

About the fair price

about $11 under the fair price · 0.9× Medicare

Medicare pays $3,658 Fair price $3,191 This hospital $3,180

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NV hospitals compared.

Cheapest $645 Priciest $3,900

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

A fair price for a Inguinal hernia repair is about $3,191 (about 0.9× the $3,658 Medicare rate). Southern Hills Hospital and Medical Center charges insurers about $3,180 — about the fair price. Located in Las Vegas, NV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$2,308 - $3,180	63%
Blue Cross Blue Shieldmajor	$3,528 - $4,589	96%
Aetnamajor	$4,169 - $4,586	114%
Cignamajor	$6,461	177%
Humanamajor	$4,370	119%
Ambetter (Centene)	$3,335	91%
CareSource	$1,201	33%
Molina	$491 - $1,201	13%
SelectHealth	$3,894 - $5,307	106%
+ 7 smaller / regional plans	$491 - $4,260

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Southern Hills Hospital and Medical Center 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 Southern Hills Hospital and Medical Center

Compare: Inguinal hernia repair at other NV hospitals

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