CMS Price Transparency Data

Inguinal hernia repair

Facility: Saint Agnes Medical Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 49505
  • Insurance Median: $172
  • Cash Discount Price: $720
  • vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Saint Agnes Medical Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $720. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.05x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$720

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

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: $720 (20%)
Insurance Median: $172 (5%)
Cash: $720 (20% of Medicare)
Ins. Median: $172 (5% 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
Bcn Domestic $51 - $481 1%
Blue Benefit Administrators Of Massachusetts $51 - $7,115 1%
Blue Care Network $51 - $7,115 1%
Blue Cross Blue Shield $51 - $9,549 1%
Blue Distinction Transplant $51 - $7,115 1%
Blue Shield - Ca $51 - $7,115 1%
Blue Shield - Id (Regence) $51 - $7,115 1%
Blue Shield - Ny Highmark Northeastern $51 - $7,115 1%
Blue Shield - Ny Highmark Western $51 - $7,115 1%
Blue Shield - Pa (Highmark) $51 - $7,115 1%
Blue Shield - Wa (Regence) $51 - $7,115 1%
Cigna $51 - $483 1%
Health Choices $51 - $481 1%
Kaiser Domestic $51 - $481 1%
Pre-Employment $51 - $481 1%
Wc Domestic $51 - $481 1%
Aetna $52 - $4,513 1%
Albany County Correctional Facility $52 - $258 1%
Ambetter / Centene $52 - $258 1%
Amish Mennonite $52 - $258 1%
Andrie Inc $52 - $258 1%
Ascension St. Vincent Public Safety Medical $52 - $258 1%
Bcccp-Michigan $52 - $258 1%
Bccp $52 - $258 1%
Bmc Healthnet $52 - $258 1%
Breast Grant-Connecticut $52 - $258 1%
Broward County Dept Of Health $52 - $258 1%
California Health And Wellness $52 - $258 1%
Can Community Health Inc $52 - $258 1%
Cardinal Innovations Lme $52 - $258 1%
Care Connections Of Northern Iowa $52 - $258 1%
Care Oregon Ohp $52 - $258 1%
Cba Network By Design $52 - $485 1%
Cencal Health Plan $52 - $258 1%
Cenpatico $52 - $258 1%
Chhuny $52 - $258 1%
Childrens Comm Health Plan $52 - $258 1%
Childrens Medical Services Title 19 $52 - $258 1%
City Of Philadelphia $52 - $258 1%
Cmh Allegan County $52 - $258 1%
Cmh Ausable Valley $52 - $258 1%
Cmh Barry County $52 - $258 1%
Cmh Bay-Arenac County $52 - $258 1%
Cmh Berrien County $52 - $258 1%
Cmh Cass County $52 - $258 1%
Cmh Central Mi County $52 - $258 1%
Cmh Clinton-Eaton-Ingham County $52 - $258 1%
Cmh Detroit Wayne Integrated Health Network $52 - $258 1%
Cmh Genesee County $52 - $258 1%
Cmh Ionia County $52 - $258 1%
Cmh Jackson County/Lifeways $52 - $258 1%
Cmh Kalamazoo $52 - $258 1%
Cmh Kent County $52 - $258 1%
Cmh Lenawee County $52 - $258 1%
Cmh Livingston County $52 - $258 1%
Cmh Macomb $52 - $258 1%
Cmh Misc $52 - $258 1%
Cmh Monroe County $52 - $258 1%
Cmh Montcalm County $52 - $258 1%
Cmh Muskegon County $52 - $258 1%
Cmh Newaygo County $52 - $258 1%
Cmh North Country $52 - $258 1%
Cmh Northern Lakes County $52 - $258 1%
Cmh Oakland County $52 - $258 1%
Cmh Ottawa County $52 - $258 1%
Cmh Van Buren County $52 - $258 1%
Cmh Washtenaw County $52 - $258 1%
Cmh Wayne County/Carelink $52 - $258 1%
Cmh Wayne Cty/Com Liv Svcs $52 - $258 1%
Cmh West Mi County $52 - $258 1%
Community Benefit Health $52 - $258 1%
Community Care Behavorial Health $52 - $258 1%
Community Care Partners $52 - $258 1%
Community Health Choice $52 - $258 1%
Connections Csp $52 - $258 1%
County Coroner $52 - $258 1%
County Funding Generic $52 - $258 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $52 - $258 1%
Dean Wi Badgercare $52 - $258 1%
Delaware County Department Of Health $52 - $258 1%
Delaware First Health $52 - $258 1%
Delta Dental Nj $52 - $258 1%
Dph Tb Program $52 - $258 1%
Dscc $52 - $258 1%
East Greenbush Central School District $52 - $258 1%
Eastpointe Lme $52 - $258 1%
Family Health Network $52 - $258 1%
Freedom First Healthcare $52 - $258 1%
Fresno County Ccs $52 - $258 1%
Genex Wc $52 - $258 1%
Ghc Scw Wi Badgercare $52 - $258 1%
Harbor Health $52 - $258 1%
Health Safety Net $52 - $258 1%
Healthsmart Workers Comp $52 - $258 1%
Healthy Blue Ne $52 - $258 1%
Hennepin Health $52 - $258 1%
Humana $52 - $4,743 1%
Id County Ada $52 - $258 1%
Id County Canyon $52 - $258 1%
Id County Cat Fund $52 - $258 1%
Id County Other $52 - $258 1%
Id County Payette $52 - $258 1%
Idaho Dept Health And Wellfare $52 - $258 1%
Idaho Womens Health Check $52 - $258 1%
Indiana Breast Cervical Cancer $52 - $258 1%
Inland Empire Health Plan $52 - $258 1%
Intercommunity Health Ohp $52 - $258 1%
Iowa Total Care $52 - $258 1%
Jag Source $52 - $258 1%
Jai Medical System $52 - $258 1%
Kern Family Health Plan $52 - $258 1%
Keystone First $52 - $258 1%
Keystone First Chip $52 - $258 1%
La Care Health Plan $52 - $258 1%
Lakeland Care Inc $52 - $258 1%
Managed Health Services - Indiana $52 - $258 1%
Maryland Breast & Cervical Program $52 - $258 1%
Maryland Healthy Smiles - Scion Dental $52 - $258 1%
Maryland Physicians Care $52 - $258 1%
Massachusetts Behavioral Health Partnership $52 - $258 1%
Mdwise $52 - $258 1%
Medi-Cal $52 - $258 1%
Medi-Cal Healthnet $52 - $323 1%
Medicaid / KanCare $52 - $1,157 1%
Medstar Dc Healthy Family $52 - $258 1%
Medstar Md Health Choice $52 - $258 1%
Mo Home State Health Plan $52 - $258 1%
Molina Centennial Care $52 - $258 1%
Nascentia Health Options $52 - $258 1%
Nebraska Total Care $52 - $258 1%
New York Cancer Services Program $52 - $258 1%
New York State Insurance Fund $52 - $258 1%
Nextlevel Health $52 - $258 1%
Njm Insurance Group $52 - $258 1%
Oregon Screenwise $52 - $258 1%
Pace Of Southwest Michigan $52 - $366 1%
Paramount Advantage $52 - $258 1%
Parkland Community Health Plan $52 - $258 1%
Partners Behavioral Lme $52 - $258 1%
Peach State Healthplan $52 - $258 1%
Philadelphia County Funding $52 - $258 1%
Presbyterian Centennial Care $52 - $258 1%
Prestige Health Choice $52 - $258 1%
Priority Partners $52 - $258 1%
Robert F Sing Program $52 - $258 1%
Rx 340B Pass Along $52 - $258 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $52 - $258 1%
Rx Heatlhcomp $52 - $258 1%
Rx Medi-Cal $52 - $258 1%
Rx Meridian Rx $52 - $258 1%
Rx Restat $52 - $258 1%
Rx Saif Opdp Wc $52 - $258 1%
Rx Worker'S Comp $52 - $258 1%
Ryan White Florida Mssrp $52 - $258 1%
Sandhills Center Lme $52 - $258 1%
Screening For Life $52 - $258 1%
St Joseph County Hlth Dpt $52 - $258 1%
Stephenson Cty Health $52 - $258 1%
Sunshine State Health Plan $52 - $258 1%
Superior Health $52 - $258 1%
Tenncare $52 - $258 1%
Texas Children'S Health Plan $52 - $258 1%
Trillium Community Ohp $52 - $258 1%
Tufts Health Public Plans $52 - $258 1%
UnitedHealthcare $52 - $10,457 1%
Vaya Health Lme $52 - $258 1%
Washtenaw Health Plan $52 - $258 1%
Wc Accident Fund $52 - $258 1%
Wc Ace $52 - $258 1%
Wc Acs Federal Employees $52 - $258 1%
Wc Acuity $52 - $258 1%
Wc Advantage $52 - $258 1%
Wc Aegis $52 - $258 1%
Wc Aig $52 - $258 1%
Wc Aims $52 - $258 1%
Wc Alaska National Ins $52 - $258 1%
Wc Align Network $52 - $258 1%
Wc Allied $52 - $258 1%
Wc Am Trust N America $52 - $258 1%
Wc American Claims Mgmt $52 - $258 1%
Wc Amerisure $52 - $258 1%
Wc Amtrust $52 - $258 1%
Wc Asu Risk Mgt $52 - $258 1%
Wc Benetech $52 - $258 1%
Wc Berkley Admin $52 - $258 1%
Wc Broadspire $52 - $258 1%
Wc Broward County $52 - $258 1%
Wc Bunch & Associates $52 - $258 1%
Wc California State Comp Ins $52 - $258 1%
Wc California State Ins Fund $52 - $258 1%
Wc Capitol Area Health Consortium $52 - $258 1%
Wc Ccmsi $52 - $258 1%
Wc Chartis $52 - $258 1%
Wc Chubb $52 - $258 1%
Wc Cirma $52 - $258 1%
Wc City Of Albany $52 - $258 1%
Wc City Of Sioux City $52 - $258 1%
Wc Claims Mgmt Inc $52 - $258 1%
Wc Cna $52 - $258 1%
Wc Comp One Admin C/O Manageability $52 - $258 1%
Wc Compone Admin $52 - $258 1%
Wc Ct Healthcare Trust $52 - $258 1%
Wc Donegal Insurance Group $52 - $258 1%
Wc Emc Insurance Company $52 - $258 1%
Wc Employee Mutual $52 - $258 1%
Wc Enablecomp $52 - $258 1%
Wc Encore Health Network $52 - $258 1%
Wc Erie $52 - $258 1%
Wc Esis $52 - $258 1%
Wc Evolutions $52 - $258 1%
Wc Fcci $52 - $258 1%
Wc Fed Ex $52 - $258 1%
Wc Federal Black Lung $52 - $258 1%
Wc Federated $52 - $258 1%
Wc Finley Occupational Health $52 - $258 1%
Wc First Agency/Occunet $52 - $258 1%
Wc Ford Motor $52 - $258 1%
Wc Fresno Unified Emp $52 - $258 1%
Wc Gallagher Bassett $52 - $258 1%
Wc General Motors $52 - $258 1%
Wc Generic $52 - $258 1%
Wc Genex Care For Ohio $52 - $258 1%
Wc Great West Casualty $52 - $258 1%
Wc Guarantee Insurance $52 - $258 1%
Wc Guard Insurance Company $52 - $258 1%
Wc Hab $52 - $258 1%
Wc Hartford $52 - $258 1%
Wc Hastings $52 - $258 1%
Wc Health Management $52 - $258 1%
Wc Heritage Summit $52 - $258 1%
Wc Hireright $52 - $258 1%
Wc Horizon $52 - $258 1%
Wc Icw Group $52 - $258 1%
Wc Idaho State Ins Fund $52 - $258 1%
Wc Intercare Insurance $52 - $258 1%
Wc Intermountain $52 - $258 1%
Wc Johns Eastern $52 - $258 1%
Wc Kemberton $52 - $258 1%
Wc Key Ins & Benefit Solutions $52 - $258 1%
Wc Liberty Mutual $52 - $258 1%
Wc Mac Risk Management $52 - $258 1%
Wc Massachusetts $52 - $258 1%
Wc Mdia $52 - $258 1%
Wc Meadowbrook Claim $52 - $258 1%
Wc Medical Administrators $52 - $258 1%
Wc Meijers $52 - $258 1%
Wc Memic $52 - $258 1%
Wc Mercy Workcare $52 - $258 1%
Wc Michigan $52 - $258 1%
Wc Michigan Millers Mutual $52 - $258 1%
Wc Mitchell Frankenmuth $52 - $258 1%
Wc Mra $52 - $258 1%
Wc Nationwide $52 - $258 1%
Wc Nca Comp $52 - $258 1%
Wc New York $52 - $258 1%
Wc New York Special Funds $52 - $258 1%
Wc North American Rishces $52 - $258 1%
Wc Northeast Health $52 - $258 1%
Wc Notre Dame $52 - $258 1%
Wc Novanet $52 - $258 1%
Wc O'Hara Corp $52 - $258 1%
Wc Occ Health Allen $52 - $258 1%
Wc Ohio Bureau $52 - $258 1%
Wc One Call Medical $52 - $258 1%
Wc Paradigm $52 - $258 1%
Wc Peerless $52 - $258 1%
Wc Pma $52 - $258 1%
Wc Praxis Health Network $52 - $258 1%
Wc Price Chopper $52 - $258 1%
Wc Procura Management $52 - $258 1%
Wc Qualcare $52 - $258 1%
Wc Quiktrip $52 - $258 1%
Wc Reny Company $52 - $258 1%
Wc Rev Claims $52 - $258 1%
Wc Risico $52 - $258 1%
Wc Rural Mutual $52 - $258 1%
Wc Saif Oregon $52 - $258 1%
Wc Secura $52 - $258 1%
Wc Sedgwick $52 - $258 1%
Wc Sentry $52 - $258 1%
Wc Sheakley Unicomp $52 - $258 1%
Wc Smile Lodge $52 - $258 1%
Wc Society $52 - $258 1%
Wc Srs $52 - $258 1%
Wc Taconic (Mro) $52 - $258 1%
Wc Taconic Farms $52 - $258 1%
Wc Travelers $52 - $258 1%
Wc Triad Group $52 - $258 1%
Wc Tristar $52 - $258 1%
Wc Troy Ny $52 - $258 1%
Wc Tyson $52 - $258 1%
Wc Unified Health Services $52 - $258 1%
Wc United Heartland $52 - $258 1%
Wc Us Dept Of Labor $52 - $258 1%
Wc Velocity $52 - $258 1%
Wc Walmart $52 - $258 1%
Wc West Bend $52 - $258 1%
Wc West Bend Mutual/Argent $52 - $258 1%
Wc Winnebago Industries $52 - $258 1%
Wc Yankee Trails $52 - $258 1%
Wc York Risk $52 - $258 1%
Wc Zenith $52 - $258 1%
Wc Zurich $52 - $258 1%
Wellsense Health Plan $52 - $258 1%
Wi Womens Wellness $52 - $258 1%
Kaiser Permanente $56 - $8,059 2%
Ally Align Care Adv $59 - $366 2%
American Health Advantage Of Idaho $59 - $366 2%
American Health Plan $59 - $366 2%
Aurora Special Needs $59 - $366 2%
Blue Care Network Advantage $59 - $366 2%
Blue Shield - De (Highmark) Medciare Advantage $59 - $366 2%
Care Dimensions $59 - $366 2%
Care Improvement Plus $59 - $366 2%
Care Resources Pace $59 - $366 2%
Careplus Health Plans $59 - $366 2%
Cca - Zing Health $59 - $366 2%
Cca Senior Care Options $59 - $366 2%
Central Valley Medical Services Corp Pace $59 - $366 2%
Champion Health Plan Mcr Advantage $59 - $366 2%
Clear Spring Health $59 - $366 2%
Clover Health $59 - $366 2%
Commonwealth Care Alliance $59 - $366 2%
Community Pace At Home $59 - $366 2%
Eddy Senior Care-Pace $59 - $366 2%
Eddy Seniorcare Pace $59 - $366 2%
Elementcare $59 - $366 2%
Evercare $59 - $366 2%
Everence $59 - $366 2%
Gateway Health Plan $59 - $366 2%
Genesys Pace Of Genesee County $59 - $366 2%
Georgia Health Advantage $59 - $366 2%
Gold Advantage $59 - $366 2%
Gpa Croell Redi Mix $59 - $366 2%
Health America Advantra $59 - $366 2%
Highmark Health Options Dual Plan $59 - $366 2%
Hope Select Pace $59 - $366 2%
Horizon Nj Total Care $59 - $366 2%
Hudson Headwaters Pace $59 - $366 2%
Huron Valley Pace $59 - $366 2%
Innovative Integrated Health Community Plans $59 - $366 2%
Iowa Health Advantage $59 - $366 2%
Johns Hopkins Advantage Md $59 - $366 2%
Lasso Healthcare Msa $59 - $366 2%
Life St Marys Pace $59 - $366 2%
Lifecircles Pace $59 - $366 2%
Longevity Health Plan $59 - $366 2%
Longevity Ipa Of Michigan Llc Health Plan Isnp $59 - $366 2%
Martins Point Generations Advantage $59 - $366 2%
Mass General Brigham Mcr Adv $59 - $366 2%
Medicare (plans) $59 - $4,743 2%
Medipak Advantage $59 - $366 2%
Mercy Life $59 - $366 2%
Mercyone Cedar Valley $59 - $366 2%
Meridian Complete $59 - $366 2%
Michigan Complete Health $59 - $366 2%
Nascentia Health Plus $59 - $366 2%
New Centry Health Careplus $59 - $366 2%
Osu Prime Care Advantage $59 - $366 2%
Pace Cny $59 - $366 2%
Pace Iowa Immanuel Pathways $59 - $366 2%
Pace Southeast $59 - $366 2%
Pace-Trinity Health $59 - $366 2%
Peak Pace Solutions $59 - $366 2%
Perennial Advantage $59 - $366 2%
Preferred Care Partners $59 - $366 2%
Presbyterian Senior Plan $59 - $366 2%
Provider Partners Health Plan Of Illinois $59 - $366 2%
Provider Partners Health Plan Of Indiana $59 - $366 2%
Pruitthealth Premier $59 - $366 2%
Reliance Community Care Partners Care Resources Pace $59 - $366 2%
Rx Allwin $59 - $366 2%
Rx Grane Grnmedd $59 - $366 2%
Rx Retiree Rx Care $59 - $366 2%
Scan Health Plan Mcr Ipa Meritage Oon $59 - $366 2%
Secure Horizons Ma Pffs $59 - $366 2%
Serenity Pace $59 - $366 2%
Siouxland Pace $59 - $366 2%
Solis Health Plans $59 - $366 2%
Sunnyview-Pace Finance Dept $59 - $366 2%
Texan Plus $59 - $366 2%
The Health Plan $59 - $366 2%
Thome Pace $59 - $366 2%
Todays Options $59 - $366 2%
Tribute Health Plans $59 - $366 2%
Um Health Advantage $59 - $366 2%
Union Health Service $59 - $366 2%
Wellmed $59 - $366 2%
Multiplan $60 - $377 2%
Phcs $60 - $377 2%
Veterans Administration $60 - $373 2%
Advantek Central Usd $61 - $9,549 2%
Champva $61 - $382 2%
Tricare $61 - $382 2%
Triwest Health Alliance $61 - $382 2%
Us Family Health Plan $61 - $382 2%
Veterans Eval Services $61 - $382 2%
Welbe Health $61 - $4,739 2%
Meritain $64 - $403 2%
Align Senior Care $69 - $5,296 2%
Geha $71 - $10,457 2%
Coventry $72 - $448 2%
First Health $72 - $448 2%
Healthnet $75 - $10,451 2%
Wc Corvel $154 - $2,083 4%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals