CMS Price Transparency Data
Inguinal hernia repair
Facility: Providence St Mary Medical Center
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$4,985
about 1.4× the $3,658 Medicare rate · typically $2,255–$6,543
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $4,985 Cash price $2,153 Hospital's list price $4,486
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 | $7,824 - $8,644 | 214% |
| Blue Cross Blue Shieldmajor | $8,024 - $19,696 | 219% |
| Aetnamajor | $4,605 - $11,564 | 126% |
| Kaiser Permanentemajor | $11,678 | 319% |
| Health Net | $8,660 | 237% |
| + 1 smaller / regional plan | $4,881 - $5,480 |
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Other Procedures at Providence St Mary Medical Center
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.