CMS Price Transparency Data

Inguinal hernia repair

Facility: Methodist Hospitals of Memphis

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $3,606
Cash Discount Price: $6,145
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Methodist Hospitals of Memphis is $3,606. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,145. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.99x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$6,145

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,606

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: $6,145 (168%)

Insurance Median: $3,606 (99%)

Cash: $6,145 (168% of Medicare)

Ins. Median: $3,606 (99% 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
Medicaid / KanCare	$250 - $3,845	7%
Blue Cross Blue Shield	$1,074 - $5,451	29%
UnitedHealthcare	$1,422 - $8,612	39%
Cigna	$2,080 - $11,380	57%
Molina Healthcare [350012]	$2,563 - $4,806	70%
Tricare	$3,095 - $5,098	85%
American Health Advantage Mcr Adv [450117]	$3,232 - $5,451	88%
Carecentrix [450200]	$3,232 - $5,451	88%
Generic Hospice Vbid [10940000101]	$3,232 - $5,451	88%
Humana	$3,232 - $5,451	88%
Medicare (plans)	$3,232 - $5,451	88%
Va Hospital [600005]	$3,232 - $5,451	88%
Devoted Health [450111]	$3,329 - $5,615	91%
Langston Performance Health [100405]	$3,606 - $5,409	99%
Select Specialty Hospital [100298]	$4,201 - $7,086	115%
United Food & Commercial Workers [100309]	$6,746 - $11,380	184%

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 $6,145.
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 Methodist Hospitals of Memphis 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.