CMS Price Transparency Data
Inguinal hernia repair
Facility: Providence St. Joseph Hospital
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$5,812
about 1.6× the $3,658 Medicare rate · typically $4,668–$8,461
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $5,812 Cash price $2,145 Hospital's list price $4,469
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $9,230 - $10,117 | 252% |
| Blue Cross Blue Shieldmajor | $4,825 - $16,838 | 132% |
| Aetnamajor | $4,605 - $11,564 | 126% |
| Health Net | $8,519 - $9,990 | 233% |
| + 1 smaller / regional plan | $3,914 |
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Other Procedures at Providence St. Joseph Hospital
Compare: Inguinal hernia repair at other CA hospitals
- Coalinga Regional Medical Center · Coalinga $434
- Kern Valley Healthcare District · Lake Isabella $467
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $493
- Hazel Hawkins Memorial Hospital · Hollister $493
- Adventist Health Reedley · Reedley $498
- Kern Medical Center · Bakersfield $516
- Adventist Health White Memorial · Los Angeles $529
- Adventist Health Tulare · Tulare $585
Insurance negotiated median for the same procedure, sorted lowest first.