CMS Price Transparency Data

Inguinal hernia repair

Facility: Treasure Valley Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,145

about 0.9× the $3,658 Medicare rate · typically $1,668–$4,257

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,167

About the fair price

about $22 over the fair price · 0.9× Medicare

Medicare pays $3,658 Fair price $3,145 This hospital $3,167 Cash price $4,109 Hospital's list price $7,935

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $464 Priciest $3,167

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 $3,145 (about 0.9× the $3,658 Medicare rate). Treasure Valley Hospital charges insurers about $3,167, or about $4,109 in cash — about the fair price. Located in Boise, ID.

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✓ Cigna HumanaKaiser 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	$3,167 - $8,911	87%
Blue Cross Blue Shieldmajor	$2,794 - $6,987	76%
Aetnamajor	$6,586	180%
Cignamajor	$6,348	174%
GEHA	$6,745	184%
Health Net	$3,183 - $6,745	87%
Moda Health	$6,824	187%
PacificSource	$6,062	166%
SelectHealth	$3,167 - $4,746	87%
+ 12 smaller / regional plans	$5,554 - $7,300

Government programs also on file: Military & VA.

Excludes 10 rental-network / third-party entries (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 4,109), 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 Treasure Valley Hospital 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 Treasure Valley Hospital

Compare: Inguinal hernia repair at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.