CMS Price Transparency Data

Inguinal hernia repair

Facility: Cape Fear Valley Hoke Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,621

about 1.0× the $3,658 Medicare rate · typically $2,290–$3,900

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,618

About the fair price

about $3 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $3,621 This hospital $3,618 Cash price $3,028 Hospital's list price $5,046

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $375 Priciest $3,618

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

A fair price for a Inguinal hernia repair is about $3,621 (about 1.0× the $3,658 Medicare rate). Cape Fear Valley Hoke Hospital charges insurers about $3,618, or about $3,028 in cash — about the fair price. Located in Raeford, NC.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$3,618	99%
Aetnamajor	$3,618 - $8,868	99%
Cignamajor	$3,618	99%
Humanamajor	$3,547 - $3,902	97%
Ambetter (Centene)	$5,321 - $7,094	145%
WellCare	$3,547	97%
+ 4 smaller / regional plans	$3,547 - $3,725

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 3,028), 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 Cape Fear Valley Hoke 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 Cape Fear Valley Hoke Hospital

Compare: Inguinal hernia repair at other NC hospitals

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