CMS Price Transparency Data

Inguinal hernia repair

Facility: Mainehealth Mid Coast Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$984
about 0.3× the $3,658 Medicare rate · typically $674–$1,791
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,014
About the fair price
about $30 over the fair price · 0.3× Medicare
Medicare pays $3,658 Fair price $984 This hospital $1,014

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

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 $984 (about 0.3× the $3,658 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $1,014 — about the fair price. Located in Brunswick, 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 - $3,446 14%
Blue Cross Blue Shieldmajor $496 - $12,326 14%
Aetnamajor $500 - $3,446 14%
Humanamajor $570 - $3,446 16%
Harvard Pilgrim $1,016 28%
WellCare $570 - $3,550 16%
+ 1 smaller / regional plan $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: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals