CMS Price Transparency Data

Inguinal hernia repair

Facility: Elkhart General Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,265
about 0.9× the $3,658 Medicare rate · typically $2,970–$6,507
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,985
About the fair price
about $280 under the fair price · 0.8× Medicare
Medicare pays $3,658 Fair price $3,265 This hospital $2,985

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $460 Priciest $2,985

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

A fair price for a Inguinal hernia repair is about $3,265 (about 0.9× the $3,658 Medicare rate). Elkhart General Hospital charges insurers about $2,985 — about the fair price. Located in Elkhart, IN.

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✓ Humana CignaKaiser 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 $1,982 - $3,697 54%
Blue Cross Blue Shieldmajor $2,274 - $11,027 62%
Aetnamajor $3,697 101%
Humanamajor $2,274 - $3,697 62%
CareSource $2,274 - $5,915 62%
Devoted Health $3,882 106%
+ 4 smaller / regional plans $1,982 - $5,545

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals