CMS Price Transparency Data

Inguinal hernia repair

Facility: Greene County Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,176

about 0.3× the $3,658 Medicare rate · typically $556–$2,769

modeled estimate · not a bill or quote

What this hospital charges insurers

$666

Below the fair price — a good deal

about $510 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $1,176 This hospital $666 Cash price $902 Hospital's list price $1,610

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $451 Priciest $666

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

A fair price for a Inguinal hernia repair is about $1,176 (about 0.3× the $3,658 Medicare rate). Greene County Medical Center charges insurers about $666, or about $902 in cash — below the fair price — a good deal. Located in Jefferson, IA.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor	$859	23%
Humanamajor	$473	13%
Ambetter (Centene)	$425	12%
+ 1 smaller / regional plan	$1,530

Excludes 1 rental-network / third-party entry (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 902), 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 Greene County Medical Center 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 Greene County 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.