CMS Price Transparency Data

Inguinal hernia repair

Facility: Gibson General Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$637

about 0.2× the $3,658 Medicare rate · typically $526–$3,222

modeled estimate · not a bill or quote

What this hospital charges insurers

$608

About the fair price

about $29 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $637 This hospital $608 Cash price $616 Hospital's list price $1,761

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 $608

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 $637 (about 0.2× the $3,658 Medicare rate). Gibson General Hospital charges insurers about $608, or about $616 in cash — about the fair price. Located in Princeton, 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✓ 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	$467 - $908	13%
Blue Cross Blue Shieldmajor	$387 - $557	11%
Aetnamajor	$467 - $1,177	13%
Cignamajor	$1,177	32%
Ambetter (Centene)	$584	16%
CareSource	$467 - $608	13%
HealthLink	$1,177	32%
Meridian	$387 - $467	11%
+ 15 smaller / regional plans	$467 - $7,475

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 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 616), 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 Gibson General 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 Gibson General Hospital

Compare: Inguinal hernia repair at other IN hospitals

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