CMS Price Transparency Data
Inguinal hernia repair
Facility: Mercyone Dubuque Medical Center
Billing Code: 49505 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,096
about 0.3× the $3,658 Medicare rate · typically $64–$2,201
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $1,096 Cash price $19,679
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $3,558 | 97% |
| Blue Cross Blue Shieldmajor | $3,523 | 96% |
| Aetnamajor | $3,488 | 95% |
| Ambetter (Centene) | $5,979 | 163% |
| Oscar Health | $4,855 | 133% |
| + 5 smaller / regional plans | $3,212 - $7,154 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Mercyone Dubuque Medical Center
Compare: Inguinal hernia repair at other IA hospitals
- Waverly Health Center · Waverly $451
- Mahaska Health Partnership · Oskaloosa $451
- Guthrie County Hospital · Guthrie Center $456
- Virginia Gay Hospital · Vinton $456
- Story County Hospital · Nevada $464
- Cass County Memorial Hospital · Atlantic $497
- Clarke County Hospital · Osceola $533
- Winnmed · Decorah $560
Insurance negotiated median for the same procedure, sorted lowest first.