CMS Price Transparency Data

Inguinal hernia repair

Facility: Kootenai Health

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$838
about 0.2× the $3,658 Medicare rate · typically $684–$2,383
modeled estimate · not a bill or quote
What this hospital charges insurers
$687
Below the fair price — a good deal
about $151 under the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $838 This hospital $687

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ID hospitals compared.

Cheapest $464 Priciest $2,048

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

A fair price for a Inguinal hernia repair is about $838 (about 0.2× the $3,658 Medicare rate). Kootenai Health charges insurers about $687 — below the fair price — a good deal. Located in Coeur D'Alene, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $458 - $3,701 13%
Blue Cross Blue Shieldmajor $400 - $5,716 11%
Aetnamajor $480 - $3,886 13%
Humanamajor $458 - $3,701 13%
Kaiser Permanentemajor $687 - $13,322 19%
Molina $305 - $3,812 8%
PacificSource $462 - $3,738 13%
+ 2 smaller / regional plans $305 - $441

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals