CMS Price Transparency Data

Inguinal hernia repair

Facility: Christus St Vincent Regional Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,195

about 1.1× the $3,658 Medicare rate · typically $3,668–$6,330

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,724

Below the fair price — a good deal

about $471 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $4,195 This hospital $3,724

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

Cheapest $1,139 Priciest $5,981

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

A fair price for a Inguinal hernia repair is about $4,195 (about 1.1× the $3,658 Medicare rate). Christus St Vincent Regional Medical Center charges insurers about $3,724 — below the fair price — a good deal. Located in Santa Fe, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$2,155 - $3,724	59%
Blue Cross Blue Shieldmajor	$2,155 - $13,532	59%
Aetnamajor	$3,724	102%
Cignamajor	$3,836	105%
Humanamajor	$3,724	102%
Ambetter (Centene)	$7,448	204%
Amerigroup	$4,283	117%
Devoted Health	$3,910	107%
Molina	$2,370 - $3,910	65%
Presbyterian	$2,155 - $12,295	59%
+ 4 smaller / regional plans	$3,724

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, 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 Christus St Vincent Regional 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 Christus St Vincent Regional Medical Center

Compare: Inguinal hernia repair at other NM hospitals

Gila Regional Medical Center · Silver City $1,139
Eastern New Mexico Medical Center · Roswell $3,662
Mountain View Regional Medical Center · Las Cruces $3,662
Covenant Health Hobbs Hospital · Hobbs $3,729
Dr Dan C Trigg Memorial Hospital · Tucumcari $4,096
Carlsbad Medical Center · Carlsbad $4,334
Presbyterian Hospital · Albuquerque $5,589
UNM Hospital · Albuquerque $5,981

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