CMS Price Transparency Data

Inguinal hernia repair

Facility: Howard County Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$437

about 0.1× the $3,658 Medicare rate · typically $437–$1,579

modeled estimate · not a bill or quote

What this hospital charges insurers

$468

About the fair price

about $31 over the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $437 This hospital $468 Cash price $1,029 Hospital's list price $1,029

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 6 of 8 other NE hospitals charge more for the same procedure.

Cheapest $455 Priciest $706

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

A fair price for a Inguinal hernia repair is about $437 (about 0.1× the $3,658 Medicare rate). Howard County Medical Center charges insurers about $468, or about $1,029 in cash — about the fair price. Located in St Paul, NE.

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	$455 - $1,828	12%
Blue Cross Blue Shieldmajor	$455 - $2,173	12%
Aetnamajor	$455	12%
Humanamajor	$387 - $455	11%
Ambetter (Centene)	$909	25%
Medica	$455 - $894	12%
Molina	$477	13%
Oscar Health	$796	22%
WellCare	$468	13%
+ 3 smaller / regional plans	$455 - $940

Government programs also on file: Military & VA.

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 1,029), 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 Howard County Medical Center 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 Howard County Medical Center

Compare: Inguinal hernia repair at other NE hospitals

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