CMS Price Transparency Data
Inguinal hernia repair
Facility: Adirondack Medical Center - Saranac Lake
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,805
about 0.8× the $3,658 Medicare rate · typically $1,320–$4,686
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $2,805 Cash price $1,160 Hospital's list price $1,871
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $80 - $12,204 | 2% |
| Aetnamajor | $4,691 | 128% |
| Cignamajor | $1,146 - $1,846 | 31% |
| CDPHP | $4,691 | 128% |
| MVP Health Care | $1,146 - $1,846 | 31% |
| WellCare | $4,785 | 131% |
| + 1 smaller / regional plan | $4,691 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Adirondack Medical Center - Saranac Lake
Compare: Inguinal hernia repair at other NY hospitals
- Bertrand Chaffee Hospital · Springville $491
- The University of Vermont Health Network-Alice Hy · Malone $509
- Kenmore Mercy Hospital · Kenmore $524
- United Memorial Medical Center · Batavia $526
- Saratoga Hospital · Saratoga Springs $526
- Geneva General Hospital · Geneva $536
- St James Hospital · Hornell $547
- Mercy Hospital of Buffalo · Buffalo $549
Insurance negotiated median for the same procedure, sorted lowest first.