CMS Price Transparency Data
Inguinal hernia repair
Facility: University Medical Center
Billing Code: 49505 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 49505
- Insurance Median: $1,009
- Cash Discount Price: $1,043
- vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at University Medical Center is $1,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,043. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.28x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$1,043
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,009
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: $1,043 (29%)
Insurance Median: $1,009 (28%)
Cash: $1,043 (29% of Medicare)
Ins. Median: $1,009 (28% 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.
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 |
|---|---|---|
| Advantra Freedom | $452 - $3,900 | 12% |
| Aetna | $452 - $6,825 | 12% |
| American Postal Workers Health Plan | $466 - $1,780 | 13% |
| UnitedHealthcare | $466 - $3,900 | 13% |
| Switch | $466 - $3,010 | 13% |
| Surest | $466 - $1,780 | 13% |
| Las Vegas Firefighters 1285 | $466 - $3,010 | 13% |
| Beech Street | $476 - $3,147 | 13% |
| Aig | $476 - $3,147 | 13% |
| Cement Masons & Plasters H&W | $476 - $3,010 | 13% |
| Molina | $491 - $5,772 | 13% |
| Sierra Health and Life | $491 - $4,485 | 13% |
| Ambetter / Centene | $491 - $6,045 | 13% |
| Healthcare Partners of Nevada | $506 - $3,900 | 14% |
| Teacher's Health Trust | $506 - $2,376 | 14% |
| Selecthealth | $506 - $5,772 | 14% |
| Pli Las Vegas | $506 - $2,376 | 14% |
| P3 Health Partners Nevada | $506 - $3,900 | 14% |
| Blue Cross Blue Shield | $506 - $4,505 | 14% |
| Dignity Health | $506 - $2,376 | 14% |
| Rebel Oil Company | $506 - $2,376 | 14% |
| Las Vegas Sand Corps | $506 - $1,780 | 14% |
| City of North Las Vegas | $506 - $3,010 | 14% |
| Las Vegas Metro Police Dept | $506 - $3,010 | 14% |
| Golden Nugget Hotel & Casino | $506 - $2,376 | 14% |
| City of Henderson | $506 - $3,010 | 14% |
| VA Pc3 (VA Choice) | $506 - $3,900 | 14% |
| Marshall Retail Group | $506 - $2,376 | 14% |
| P3 Health Partners | $506 - $2,376 | 14% |
| Golden Entertainment | $506 - $2,376 | 14% |
| Operating Engineers | $506 - $4,505 | 14% |
| Mgm Grand | $506 - $3,010 | 14% |
| Clark County Self Funded | $506 - $3,010 | 14% |
| Wynn Resorts | $506 - $3,010 | 14% |
| Truline Corporation | $506 - $2,376 | 14% |
| Mirage Las Vegas | $506 - $3,010 | 14% |
| Venetian/Palazzo | $506 - $2,376 | 14% |
| Resorts World Las Vegas | $506 - $3,010 | 14% |
| Arroweye Solutions | $506 - $2,376 | 14% |
| Clark County EPO | $506 - $3,010 | 14% |
| Allwell | $506 - $3,900 | 14% |
| Caesar's Entertainment | $506 - $3,010 | 14% |
| State of Nevada | $506 - $2,376 | 14% |
| Stations Casinos | $506 - $2,376 | 14% |
| Scan | $531 - $3,900 | 15% |
| Alignment Health | $531 - $3,900 | 15% |
| Employee Painters Trust | $561 - $3,010 | 15% |
| Coventry | $561 - $4,233 | 15% |
| Geha | $561 - $758 | 15% |
| Clark County Firefighters 1908 | $561 - $3,010 | 15% |
| Nevada Energy | $561 - $4,233 | 15% |
| Mail Handlers Benefit Plan | $561 - $4,233 | 15% |
| Health Net | $566 - $11,603 | 15% |
| Three Rivers Provider Network | $566 - $5,428 | 15% |
| First Health | $566 - $5,428 | 15% |
| Teamsters Local 14 | $600 - $3,010 | 16% |
| Electrical Workers | $600 - $3,010 | 16% |
| Bricklayers Local 13 | $600 - $3,010 | 16% |
| Laborers Health and Welfare | $600 - $3,010 | 16% |
| Sheet Metal Workers | $600 - $4,505 | 16% |
| Plumbers & Pipefitters Loc 525 | $600 - $3,010 | 16% |
| California Ironwork Field Welfare | $600 - $4,505 | 16% |
| Ufcw Local 711 Retail Clerks | $600 - $3,010 | 16% |
| Teamsters Local 631 | $600 - $3,010 | 16% |
| Teamsters Local 986 | $600 - $3,010 | 16% |
| Boyd Group | $600 - $3,010 | 16% |
| Southwest Carpenters H&W | $600 - $4,505 | 16% |
| So Ca Pipe Trades H&W | $600 - $4,505 | 16% |
| Culinary Workers Hwf | $622 - $3,010 | 17% |
| Laughlin Coalition | $705 - $5,324 | 19% |
| Jw Marriott | $758 - $7,800 | 21% |
| Nevada Preferred Professionals | $758 - $7,800 | 21% |
| Hometown Health Plan Nevada | $758 | 21% |
| Prominence Health Plan | $758 - $7,800 | 21% |
| Universal Health Network (Uhn) | $758 - $7,800 | 21% |
| One Health Plan | $758 - $2,801 | 21% |
| Health Direct Partners | $834 - $6,279 | 23% |
| Zuffa | $1,084 - $8,191 | 30% |
| National Security Technologies | $1,163 - $7,752 | 32% |
| Great West Healthcare | $1,163 - $7,752 | 32% |
| Cirque De Soleil | $1,163 - $7,752 | 32% |
| Cigna | $1,163 - $7,752 | 32% |
| Kaiser | $1,163 - $7,752 | 32% |
| Hometown Health Plan of Nevada | $2,801 | 77% |
| Nevada Hand | $3,010 | 82% |
| Clark County Detention Center | $4,095 | 112% |