CMS Price Transparency Data

Inguinal hernia repair

Facility: Henry Ford Macomb Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$555
about 0.2× the $3,658 Medicare rate · typically $288–$1,645
modeled estimate · not a bill or quote
What this hospital charges insurers
$560
About the fair price
about $5 over the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $555 This hospital $560 Hospital's list price $1,760

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 2 charge more and 3 charge less, among the 9 MI hospitals compared.

Cheapest $484 Priciest $571

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

A fair price for a Inguinal hernia repair is about $555 (about 0.2× the $3,658 Medicare rate). Henry Ford Macomb Hospital charges insurers about $560 — about the fair price. Located in Clinton Township, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $560 - $3,458 15%
Blue Cross Blue Shieldmajor $300 - $6,014 8%
Aetnamajor $300 - $3,803 8%
Cignamajor $771 21%
Humanamajor $448 - $3,527 12%
AmeriHealth $340 - $3,389 9%
CareSource $340 - $3,458 9%
Meridian $300 - $4,668 8%
Molina $353 - $4,668 10%
Priority Health $300 - $4,843 8%
WellCare $560 - $3,492 15%
+ 12 smaller / regional plans $300 - $7,953

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Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals