CMS Price Transparency Data

Inguinal hernia repair

Facility: Hiawatha Community Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$811

about 0.2× the $3,658 Medicare rate · typically $548–$2,542

modeled estimate · not a bill or quote

What this hospital charges insurers

$608

Below the fair price — a good deal

about $203 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $811 This hospital $608 Cash price $927 Hospital's list price $927

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $417 Priciest $608

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

A fair price for a Inguinal hernia repair is about $811 (about 0.2× the $3,658 Medicare rate). Hiawatha Community Hospital charges insurers about $608, or about $927 in cash — below the fair price — a good deal. Located in Hiawatha, KS.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$457 - $538	12%
Aetnamajor	$457 - $644	12%
Cignamajor	$727	20%
Humanamajor	$457	12%
Ambetter (Centene)	$426	12%
Oscar Health	$731	20%
+ 4 smaller / regional plans	$548 - $1,090

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 927), 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 Hiawatha Community 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 Hiawatha Community Hospital

Compare: Inguinal hernia repair at other KS hospitals

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