CMS Price Transparency Data

Inguinal hernia repair

Facility: Midstate Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,231

about 0.6× the $3,658 Medicare rate · typically $1,081–$5,028

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,330

Below the fair price — a good deal

about $901 under the fair price · 0.4× Medicare

Medicare pays $3,658 Fair price $2,231 This hospital $1,330 Cash price $3,040 Hospital's list price $3,040

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.

Cheapest $596 Priciest $4,219

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

A fair price for a Inguinal hernia repair is about $2,231 (about 0.6× the $3,658 Medicare rate). Midstate Medical Center charges insurers about $1,330, or about $3,040 in cash — below the fair price — a good deal. Located in Meriden, CT.

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✓ Cigna HumanaKaiser 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	$796 - $1,463	22%
Blue Cross Blue Shieldmajor	$767 - $8,935	21%
Aetnamajor	$1,197 - $1,500	33%
Cignamajor	$1,159	32%
Molina	$1,463	40%
Tufts Health Plan	$1,463	40%
WellCare	$1,492	41%
+ 3 smaller / regional plans	$796 - $1,463

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 3,040), 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 Midstate 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 Midstate Medical Center

Compare: Inguinal hernia repair at other CT hospitals

Gaylord Hospital · Wallingford $596
Charlotte Hungerford Hospital · Torrington $1,463
William W Backus Hospital · Norwich $1,463
Hartford Hospital · Hartford $1,463
The Hospital of Central Connecticut · New Britain $1,463
St Vincent's Medical Center · Bridgeport $1,478
Windham Community Memorial Hospital · Willimantic $1,492
John Dempsey Hospital of the University of Connect · Farmington $4,219

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