CMS Price Transparency Data

Inguinal hernia repair

Facility: Charlevoix Area Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$533
about 0.1× the $3,658 Medicare rate · typically $437–$1,920
modeled estimate · not a bill or quote
What this hospital charges insurers
$571
About the fair price
about $38 over the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $533 This hospital $571

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

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 $533 (about 0.1× the $3,658 Medicare rate). Charlevoix Area Hospital charges insurers about $571 — about the fair price. Located in Charlevoix, MI.

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✓ Cigna HumanaKaiser 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 $340 - $2,527 9%
Blue Cross Blue Shieldmajor $155 - $2,527 4%
Aetnamajor $501 14%
Cignamajor $967 26%
Meridian $340 - $2,527 9%
Molina $501 14%
Priority Health $340 - $2,527 9%
+ 8 smaller / regional plans $340 - $5,376
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals