CMS Price Transparency Data

Inguinal hernia repair

Facility: Adventist Health Castle

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,112

about 1.1× the $3,658 Medicare rate · typically $548–$4,315

modeled estimate · not a bill or quote

What this hospital charges insurers

$511

Below the fair price — a good deal

about $3,601 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $4,112 This hospital $511 Cash price $414 Hospital's list price $1,294

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $511 Priciest $4,247

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

A fair price for a Inguinal hernia repair is about $4,112 (about 1.1× the $3,658 Medicare rate). Adventist Health Castle charges insurers about $511, or about $414 in cash — below the fair price — a good deal. Located in Kailua, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$504	14%
Devoted Health	$519	14%
+ 7 smaller / regional plans	$321 - $1,294

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 414), 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 Adventist Health Castle 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 Adventist Health Castle

Compare: Inguinal hernia repair at other HI hospitals

Kau Hospital · Pahala $526
Samuel Mahelona Memorial Hospital · Kapaa $526
Kapiolani Medical Center for Women & Children · Honolulu $3,706
Kaiser Foundation Hospital · Honolulu $3,797
Kohala Hospital · Kapaau $3,967
Kuakini Medical Center · Honolulu $4,183
Straub Clinic and Hospital · Honolulu $4,183
Kona Community Hospital · Kealakekua $4,247

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