CMS Price Transparency Data
Inguinal hernia repair
Facility: Northwest Specialty Hospital
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,456
about 0.4× the $3,658 Medicare rate · typically $903–$3,407
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $1,456 Cash price $3,172 Hospital's list price $3,172
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✓ Kaiser Permanente CignaHumana
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 | $3,682 - $6,244 | 101% |
| Blue Cross Blue Shieldmajor | $3,682 - $6,244 | 101% |
| Aetnamajor | $3,200 - $6,244 | 87% |
| Kaiser Permanentemajor | $3,682 - $9,303 | 101% |
| Molina | $3,682 - $6,244 | 101% |
| + 1 smaller / regional plan | $5,155 - $8,741 |
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Other Procedures at Northwest Specialty 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.