CMS Price Transparency Data

Inguinal hernia repair

Facility: Wellstar Paulding Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,338
about 1.7× the $3,658 Medicare rate · typically $3,314–$7,665
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,389
About the fair price
about $51 over the fair price · 1.7× Medicare
Medicare pays $3,658 Fair price $6,338 This hospital $6,389

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $375 Priciest $6,389

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

A fair price for a Inguinal hernia repair is about $6,338 (about 1.7× the $3,658 Medicare rate). Wellstar Paulding Medical Center charges insurers about $6,389 — about the fair price. Located in Hiram, GA.

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 $8,448 231%
Blue Cross Blue Shieldmajor $3,709 - $13,652 101%
Aetnamajor $3,637 - $6,389 99%
Cignamajor $3,818 - $4,923 104%
Ambetter (Centene) $6,401 175%
CareSource $3,891 - $7,128 106%
Oscar Health $6,728 184%
+ 1 smaller / regional plan $2,323

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Facility Profile & Credentials

  • Address: 2518 Jimmy Lee Smith Parkway, Hiram, GA 30141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals