CMS Price Transparency Data

Inguinal hernia repair

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,174

about 0.9× the $3,658 Medicare rate · typically $1,396–$4,061

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,197

Below the fair price — a good deal

about $1,977 under the fair price · 0.3× Medicare

Medicare pays $3,658 Fair price $3,174 This hospital $1,197 Cash price $1,424 Hospital's list price $1,898

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $498 Priciest $1,197

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

A fair price for a Inguinal hernia repair is about $3,174 (about 0.9× the $3,658 Medicare rate). UT of Texas Southwestern University Hospital - William P. Clements Jr. charges insurers about $1,197, or about $1,424 in cash — below the fair price — a good deal. Located in Dallas, TX.

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	$423 - $20,334	12%
Blue Cross Blue Shieldmajor	$423 - $13,737	12%
Aetnamajor	$486 - $1,889	13%
Cignamajor	$1,566	43%
Humanamajor	$537 - $3,670	15%
Ambetter (Centene)	$523	14%
Molina	$423 - $3,706	12%
+ 7 smaller / regional plans	$423 - $3,706

Excludes 4 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 (about 1,424), 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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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 UT of Texas Southwestern University Hospital - William P. Clements Jr.

Compare: Inguinal hernia repair at other TX hospitals

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