CMS Price Transparency Data

Inguinal hernia repair

Facility: Southern Ohio Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,263

about 0.3× the $3,658 Medicare rate · typically $490–$2,101

modeled estimate · not a bill or quote

What this hospital charges insurers

$623

Below the fair price — a good deal

about $640 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $1,263 This hospital $623 Cash price $600 Hospital's list price $1,200

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Lowest price of the 9 OH hospitals we have prices for — a strong deal.

Cheapest $623 Priciest $1,304

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

A fair price for a Inguinal hernia repair is about $1,263 (about 0.3× the $3,658 Medicare rate). Southern Ohio Medical Center charges insurers about $623, or about $600 in cash — below the fair price — a good deal. Located in Portsmouth, OH.

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	$420 - $1,056	11%
Blue Cross Blue Shieldmajor	$350 - $3,261	10%
Aetnamajor	$739 - $3,387	20%
Cignamajor	$685 - $996	19%
Humanamajor	$350 - $3,261	10%
Ambetter (Centene)	$500	14%
CareSource	$601 - $4,402	16%
Medical Mutual	$500 - $984	14%
Molina	$350 - $3,913	10%
WellCare	$354 - $500	10%
+ 6 smaller / regional plans	$417 - $4,565

Excludes 3 rental-network / third-party entries (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 600), 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 Southern Ohio 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 Southern Ohio Medical Center

Compare: Inguinal hernia repair at other OH hospitals

Fisher-Titus Hospital · Norwalk $661
Union Hospital · Dover $723
Genesis Hospital · Zanesville $743
Southwest General Health Center · Middleburg Heights $843
Mercy Medical Center · Canton $932
Galion Community Hospital · Galion $1,011
Henry County Hospital, Inc · Napoleon $1,251
Akron General Medical Center · Akron $1,304

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