CMS Price Transparency Data

Inguinal hernia repair

Facility: Morton Plant North Bay Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,912
about 1.1× the $3,658 Medicare rate · typically $3,382–$5,507
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,542
About the fair price
about $370 under the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,912 This hospital $3,542 Cash price $8,497 Hospital's list price $14,161

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $375 Priciest $3,542

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

A fair price for a Inguinal hernia repair is about $3,912 (about 1.1× the $3,658 Medicare rate). Morton Plant North Bay Hospital charges insurers about $3,542, or about $8,497 in cash — about the fair price. Located in New Port Richey, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $2,551 - $14,161 70%
Blue Cross Blue Shieldmajor $3,542 - $7,494 97%
Aetnamajor $2,677 - $11,541 73%
Cignamajor $4,074 - $12,320 111%
Humanamajor $2,602 - $4,428 71%
Ambetter (Centene) $7,970 - $14,161 218%
AvMed $4,390 - $6,939 120%
Molina $2,549 - $8,369 70%
Simply Healthcare $2,549 - $2,627 70%
WellCare $4,959 136%
+ 10 smaller / regional plans $2,526 - $4,248
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6600 Madison Street, New Port Richey, FL 34652
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals