CMS Price Transparency Data

Inguinal hernia repair

Facility: Medical City Alliance

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $2,513
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Medical City Alliance is $2,513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.69x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,513

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%)

Insurance Median: $2,513 (69%)

Ins. Median: $2,513 (69% 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
Cook Childrens Health Plan	$1,152	31%
Parkland Community Health Plan	$1,152	31%
United	$1,152 - $10,918	31%
Amerigroup	$1,209	33%
Cigna	$1,209 - $12,499	33%
Molina	$1,267 - $1,290	35%
Aetna	$1,382 - $4,332	38%
Humana	$1,439 - $11,438	39%
Superior Health Plan	$2,369	65%
Wellmed	$3,621	99%
Blue Cross Blue Shield	$4,477 - $8,768	122%
Healthcare Highways	$5,475	150%
Curative Administrators	$5,849	160%
Evry Health	$6,054	166%
Multiplan Phcs	$6,383	174%
Oscar	$7,168	196%

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 $X.
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 Medical City Alliance 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.