CMS Price Transparency Data

Inguinal hernia repair

Facility: Nell J Redfield Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$909

about 0.2× the $3,658 Medicare rate · typically $420–$1,907

modeled estimate · not a bill or quote

What this hospital charges insurers

$464

Below the fair price — a good deal

about $445 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $909 This hospital $464 Cash price $760 Hospital's list price $894

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 9 ID hospitals we have prices for — a strong deal.

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 $909 (about 0.2× the $3,658 Medicare rate). Nell J Redfield Memorial Hospital charges insurers about $464, or about $760 in cash — below the fair price — a good deal. Located in Malad City, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$458	13%
Blue Cross Blue Shieldmajor	$458 - $1,038	13%
Aetnamajor	$458 - $1,480	13%
PacificSource	$471	13%
+ 5 smaller / regional plans	$51 - $1,016

Excludes 2 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 760), 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 Nell J Redfield Memorial 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 Nell J Redfield Memorial Hospital

Compare: Inguinal hernia repair at other ID hospitals

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