CMS Price Transparency Data

Inguinal hernia repair

Facility: Mainehealth Maine Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$943
about 0.3× the $3,658 Medicare rate · typically $639–$1,765
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,012
About the fair price
about $69 over the fair price · 0.3× Medicare
Medicare pays $3,658 Fair price $943 This hospital $1,012

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 7 of 8 other ME hospitals charge less.

Cheapest $532 Priciest $1,014

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

A fair price for a Inguinal hernia repair is about $943 (about 0.3× the $3,658 Medicare rate). Mainehealth Maine Medical Center charges insurers about $1,012 — about the fair price. Located in Portland, ME.

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 $496 - $3,416 14%
Blue Cross Blue Shieldmajor $501 - $15,514 14%
Aetnamajor $500 - $3,416 14%
Humanamajor $570 - $3,416 16%
Harvard Pilgrim $1,016 28%
WellCare $570 - $3,518 16%
+ 1 smaller / regional plan $1,072 - $1,080
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals