CMS Price Transparency Data

Inguinal hernia repair

Facility: Kossuth Regional Health Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$655
about 0.2× the $3,658 Medicare rate · typically $452–$1,679
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,105
Above the fair price
about $450 over the fair price · 0.3× Medicare
Medicare pays $3,658 Fair price $655 This hospital $1,105 Cash price $4,888 Hospital's list price $6,110

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 $1,105

Black dot = this hospital, among the 9 IA 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 $655 (about 0.2× the $3,658 Medicare rate). Kossuth Regional Health Center charges insurers about $1,105, or about $4,888 in cash — above the fair price. Located in Algona, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $655. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana CignaKaiser 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 $465 - $8,162 13%
Blue Cross Blue Shieldmajor $1,023 - $4,826 28%
Aetnamajor $1,000 - $10,430 27%
Humanamajor $451 - $4,127 12%
Amerigroup $460 - $11,183 13%
HealthPartners $1,156 - $10,430 32%
Molina $1,503 - $11,076 41%
Sanford Health Plan $474 13%
+ 2 smaller / regional plans $474 - $9,140
Government programs also on file: Military & VA.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals