CMS Price Transparency Data

Inguinal hernia repair

Facility: San Luis Valley Regional Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,969

about 0.8× the $3,658 Medicare rate · typically $1,532–$4,544

modeled estimate · not a bill or quote

Medicare pays $3,658 Fair price $2,969 Cash price $1,106 Hospital's list price $1,383

How we calculate the fair BaseRate →

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

✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldHumana

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
Aetnamajor	$766 - $1,210	21%
Cignamajor	$1,314	36%
Kaiser Permanentemajor	$3,777	103%
Presbyterian	$8,498	232%
+ 4 smaller / regional plans	$481 - $1,314

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,106), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm San Luis Valley Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at San Luis Valley Regional Medical Center

Compare: Inguinal hernia repair at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.