CMS Price Transparency Data

Inguinal hernia repair

Facility: Rush Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$561

about 0.2× the $3,658 Medicare rate · typically $430–$4,329

modeled estimate · not a bill or quote

What this hospital charges insurers

$504

Below the fair price — a good deal

about $57 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $561 This hospital $504 Cash price $563 Hospital's list price $750

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

On the higher side — 6 of 8 other IN hospitals charge less.

Cheapest $460 Priciest $529

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 $561 (about 0.2× the $3,658 Medicare rate). Rush Memorial Hospital charges insurers about $504, or about $563 in cash — below the fair price — a good deal. Located in Rushville, IN.

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✓ Cigna✓ Humana Kaiser 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	$400 - $460	11%
Blue Cross Blue Shieldmajor	$473 - $568	13%
Aetnamajor	$464 - $504	13%
Cignamajor	$375	10%
Humanamajor	$464 - $467	13%
CareSource	$460 - $621	13%
Health Net	$375	10%
+ 5 smaller / regional plans	$473 - $865

Excludes 4 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 563), 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 Rush 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 Rush Memorial Hospital

Compare: Inguinal hernia repair at other IN hospitals

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