CMS Price Transparency Data

Inguinal hernia repair

Facility: M Health Fairview Southdale Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,066

about 0.6× the $3,658 Medicare rate · typically $1,392–$2,066

modeled estimate · not a bill or quote

Medicare pays $3,658 Fair price $2,066 Cash price $650 Hospital's list price $1,037

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$468 - $5,287	13%
Blue Cross Blue Shieldmajor	$393 - $6,349	11%
HealthPartners	$345 - $7,942	9%
Medica	$367 - $4,192	10%
Sanford Health Plan	$298 - $3,513	8%
Security Health Plan	$370 - $3,513	10%
UCare	$352 - $8,072	10%
WellCare	$468 - $3,513	13%
+ 5 smaller / regional plans	$345 - $3,554

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 650), 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 M Health Fairview Southdale 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 M Health Fairview Southdale Hospital

Compare: Inguinal hernia repair at other MN hospitals

Ely - Bloomenson Community Hospital · Ely $465
Chippewa County Hospital · Montevideo $465
Perham Health · Perham $465
Madison Hospital · Madison $467
Windom Area Health · Windom $475
Astera Health · Wadena $475
Lakewood Health System · Staples $500
Lifecare Medical Center · Roseau $570

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