CMS Price Transparency Data

Inguinal hernia repair

Facility: Valley Children's Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,188
about 0.3× the $3,658 Medicare rate · typically $657–$3,093
modeled estimate · not a bill or quote
What this hospital charges insurers
$765
Below the fair price — a good deal
about $423 under the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $1,188 This hospital $765

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $434 Priciest $765

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $1,188 (about 0.3× the $3,658 Medicare rate). Valley Children's Hospital charges insurers about $765 — below the fair price — a good deal. Located in Madera, CA.

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✓ Kaiser Permanente AetnaCignaHumana

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 $765 21%
Blue Cross Blue Shieldmajor $1,417 - $13,125 39%
Kaiser Permanentemajor $499 14%
Health Net $1,811 50%
+ 12 smaller / regional plans $493 - $3,063

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens