CMS Price Transparency Data

Inguinal hernia repair

Facility: Lincolnhealth

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$917
about 0.3× the $3,658 Medicare rate · typically $606–$1,821
modeled estimate · not a bill or quote
What this hospital charges insurers
$924
About the fair price
about $7 over the fair price · 0.3× Medicare
Medicare pays $3,658 Fair price $917 This hospital $924

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 3 charge more and 4 charge less, among the 9 ME hospitals compared.

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 $917 (about 0.3× the $3,658 Medicare rate). Lincolnhealth charges insurers about $924 — about the fair price. Located in Damariscotta, 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 $548 - $972 15%
Blue Cross Blue Shieldmajor $548 - $21,107 15%
Aetnamajor $500 - $1,033 14%
Humanamajor $575 16%
Harvard Pilgrim $1,016 28%
WellCare $570 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: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals