CMS Price Transparency Data

Inguinal hernia repair

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$864

about 0.2× the $3,658 Medicare rate · typically $746–$3,044

modeled estimate · not a bill or quote

What this hospital charges insurers

$809

About the fair price

about $55 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $864 This hospital $809 Cash price $6,717 Hospital's list price $10,334

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

On the higher side — 7 of 8 other FL hospitals charge less.

Cheapest $375 Priciest $838

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $864 (about 0.2× the $3,658 Medicare rate). Cleveland Clinic Indian River Hospital charges insurers about $809, or about $6,717 in cash — about the fair price. Located in Vero Beach, 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	$387 - $8,320	11%
Blue Cross Blue Shieldmajor	$487 - $5,558	13%
Aetnamajor	$635 - $14,242	17%
Cignamajor	$677 - $5,341	19%
Humanamajor	$3,542	97%
AmeriHealth	$407	11%
AvMed	$565 - $8,112	15%
Devoted Health	$3,897	107%
Molina	$407	11%
WellCare	$407 - $3,542	11%
WellMed	$593 - $3,542	16%
+ 12 smaller / regional plans	$407 - $11,571

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (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 6,717), 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 Cleveland Clinic Indian River Hospital 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 Cleveland Clinic Indian River Hospital

Compare: Inguinal hernia repair at other FL hospitals

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