CMS Price Transparency Data
Inguinal hernia repair
Facility: Madison Memorial Hospital
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,081
about 0.8× the $3,658 Medicare rate · typically $2,918–$3,329
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $3,081 Cash price $4,059 Hospital's list price $5,412
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
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,520 - $5,968 | 96% |
| Aetnamajor | $3,520 - $5,968 | 96% |
| Moda Health | $7,040 - $11,937 | 192% |
| Molina | $3,520 - $5,968 | 96% |
| SelectHealth | $3,555 - $6,028 | 97% |
| + 3 smaller / regional plans | $3,520 - $10,146 |
Government programs also on file: Military & VA.
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Other Procedures at Madison Memorial Hospital
Compare: Inguinal hernia repair at other ID hospitals
- Nell J Redfield Memorial Hospital · Malad City $464
- Clearwater Valley Hospital & Clinics · Orofino $526
- St Mary's Hospital · Cottonwood $526
- Kootenai Health · Coeur D'Alene $687
- Teton Valley Hospital · Driggs $741
- Boundary Community Hospital · Bonners Ferry $763
- Caribou Medical Center · Soda Springs $920
- Benewah Community Hospital · Saint Maries $1,067
Insurance negotiated median for the same procedure, sorted lowest first.