CMS Price Transparency Data

Inguinal hernia repair

Facility: St Peters Health

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,847
about 1.1× the $3,658 Medicare rate · typically $2,536–$7,909
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,620
About the fair price
about $227 under the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,847 This hospital $3,620 Cash price $8,101 Hospital's list price $9,531

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

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

Cheapest $760 Priciest $3,804

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

A fair price for a Inguinal hernia repair is about $3,847 (about 1.1× the $3,658 Medicare rate). St Peters Health charges insurers about $3,620, or about $8,101 in cash — about the fair price. Located in Helena, MT.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $3,620 99%
PacificSource $6,832 187%
+ 1 smaller / regional plan $10,500

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Facility Profile & Credentials

  • Address: 2475 Broadway, Helena, MT 59601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals