CMS Price Transparency Data

Inguinal hernia repair

Facility: Madison Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$784
about 0.2× the $3,658 Medicare rate · typically $463–$2,198
modeled estimate · not a bill or quote
What this hospital charges insurers
$467
Below the fair price — a good deal
about $317 under the fair price · 0.1× Medicare
Medicare pays $3,658 Fair price $784 This hospital $467 Cash price $1,954 Hospital's list price $2,299

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $465 Priciest $574

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $784 (about 0.2× the $3,658 Medicare rate). Madison Hospital charges insurers about $467, or about $1,954 in cash — below the fair price — a good deal. Located in Madison, MN.

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✓ Humana CignaKaiser 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 $358 - $2,713 10%
Blue Cross Blue Shieldmajor $358 - $2,713 10%
Aetnamajor $574 - $2,115 16%
Humanamajor $491 - $2,184 13%
HealthPartners $323 - $2,175 9%
Medica $365 - $1,954 10%
Sanford Health Plan $2,023 - $2,115 55%
+ 1 smaller / regional plan $383 - $1,304
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals