CMS Price Transparency Data

Inguinal hernia repair

Facility: Akron General Medical Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $1,082
Cash Discount Price: $1,273
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Akron General Medical Center is $1,082. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,273. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.30x the Medicare baseline. Located in 1 Akron General Avenue, Akron, OH.

Cash / Self-Pay

$1,273

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,082

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: $1,273 (35%)

Insurance Median: $1,082 (30%)

Cash: $1,273 (35% of Medicare)

Ins. Median: $1,082 (30% 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
Oscar	$280 - $765	8%
UnitedHealthcare	$298 - $3,261	8%
Buckeye	$314 - $2,019	9%
Summacare	$325 - $3,261	9%
Caresource	$329 - $2,019	9%
United	$329 - $7,821	9%
Amerihealth	$345 - $2,221	9%
Molina	$345 - $2,120	9%
Ohcp	$408 - $1,115	11%
Aetna	$500 - $3,261	14%
Blue Cross Blue Shield	$500 - $8,515	14%
Humana	$500 - $3,261	14%
The Health Plan	$500 - $3,375	14%
Valor	$500 - $3,261	14%
Omas	$525 - $1,433	14%
Communicare	$526	14%
Pphp	$541 - $3,587	15%
Zing Health	$551 - $3,587	15%
Phphi	$630 - $1,720	17%
Aultcare	$656	18%
Cigna	$716 - $3,359	20%
Gms	$735 - $2,006	20%
Mmo	$735 - $3,497	20%
Consociate Health	$788 - $2,150	22%
Multiplan	$945 - $2,579	26%
United Bh	$2,140	59%
Upmc	$2,992	82%
Perennial Health	$3,522	96%

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 $1,273.
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 Akron General Medical Center 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.