CMS Price Transparency Data

Inguinal hernia repair

Facility: Christ Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,261
Cash Discount Price: $12,646
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Christ Hospital is $3,261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,646. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.89x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$12,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,261

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: $12,646 (346%)

Insurance Median: $3,261 (89%)

Cash: $12,646 (346% of Medicare)

Ins. Median: $3,261 (89% 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
Aetna	$534 - $12,646	15%
Ambetter / Centene	$534 - $5,500	15%
Amerihealth Caritas [2230]	$534 - $12,646	15%
Blue Cross Blue Shield	$534 - $12,646	15%
Buckeye Community Health [2028]	$534 - $12,646	15%
Caresource [2031]	$534 - $12,646	15%
Cigna	$534 - $5,500	15%
Humana	$534 - $12,646	15%
Medben [2222]	$534 - $5,500	15%
Medical Mutual [2054]	$534 - $16,205	15%
Medicare (plans)	$534 - $5,500	15%
Meritain Health [2224]	$534 - $5,500	15%
Other Workers Compensation [9999]	$534	15%
Other [9990]	$534	15%
United Medical Resources [2104]	$534 - $7,420	15%
UnitedHealthcare	$534 - $12,646	15%
Wc Sedgwick [3078]	$534	15%
Western And Southern [2076]	$534 - $16,205	15%
Medicaid / KanCare	$602 - $12,646	16%
Allied Benefits [2163]	$3,261 - $5,500	89%
Buckeye Mycare Dual [2171]	$3,261 - $5,500	89%
Custom Design Benefits - True Cost [3004]	$3,261 - $5,500	89%
First Health [2041]	$3,261 - $5,500	89%
Medigold Ppo [2204]	$3,261 - $5,500	89%
Meridian [2185]	$3,261 - $5,500	89%
Other Exchange Plan [9992]	$3,261 - $5,500	89%
Perennial [4200]	$3,261 - $5,500	89%
Poppins Health [2299]	$3,261 - $5,500	89%
Geha [2168]	$7,420	203%
Golden Rule [2161]	$7,420	203%
Life Synch [2080]	$12,646	346%

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 $12,646.
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 Christ 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.