CMS Price Transparency Data

Inguinal hernia repair

Facility: Millinocket Regional Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$649

about 0.2× the $3,658 Medicare rate · typically $489–$2,073

modeled estimate · not a bill or quote

What this hospital charges insurers

$532

Below the fair price — a good deal

about $117 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $649 This hospital $532 Cash price $1,358 Hospital's list price $1,509

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Lowest price of the 9 ME hospitals we have prices for — a strong deal.

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 $649 (about 0.2× the $3,658 Medicare rate). Millinocket Regional Hospital charges insurers about $532, or about $1,358 in cash — below the fair price — a good deal. Located in Millinocket, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$538	15%
Aetnamajor	$1,343	37%
Cignamajor	$1,397	38%
Humanamajor	$532	15%
Harvard Pilgrim	$1,355	37%
WellCare	$527	14%

Government programs also on file: Medicare.

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 1,358), 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 Millinocket Regional 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 Millinocket Regional Hospital

Compare: Inguinal hernia repair at other ME hospitals

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