CMS Price Transparency Data

Inguinal hernia repair

Facility: Fairview Northland Regional Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $1,745
Cash Discount Price: $1,271
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Fairview Northland Regional Hospital is $1,745. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,271. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.48x the Medicare baseline. Located in 911 Northland Drive, Princeton, MN.

Cash / Self-Pay

$1,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,745

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,657.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,657.95 (100%)

Cash / Self-Pay: $1,271 (35%)

Insurance Median: $1,745 (48%)

Cash: $1,271 (35% of Medicare)

Ins. Median: $1,745 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,657.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Sanford Health Plan	$298 - $3,513	8%
Health Partners	$345 - $7,942	9%
Itasca Medical Care	$345 - $3,513	9%
Primewest	$345 - $3,291	9%
South Country Health Alliance	$345 - $3,513	9%
Ucare	$352 - $8,072	10%
Medica	$367 - $4,551	10%
Security Health Plan	$370 - $3,361	10%
America'S Ppo	$385 - $2,402	11%
Hennepin Health	$390 - $3,554	11%
Blue Cross Blue Shield	$393 - $6,349	11%
First Health	$416 - $2,493	11%
Multiplan	$431 - $2,584	12%
Private Healthcare Systems	$431 - $2,584	12%
Wisconsin Physician Services	$456 - $2,736	12%
UnitedHealthcare	$468 - $5,499	13%
Wellcare	$468 - $3,513	13%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,271.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 49505.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairview Northland Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 49505.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.