CMS Price Transparency Data

Inguinal hernia repair

Facility: Lima Memorial Health System

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,921
about 1.1× the $3,658 Medicare rate · typically $3,779–$5,256
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $3,921 Cash price $3,993 Hospital's list price $4,437

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $14,147 - $15,719 387%
Aetnamajor $3,419 - $4,102 93%
CareSource $5,983 164%
Devoted Health $3,453 94%
+ 1 smaller / regional plan $5,812

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1001 Bellefontaine Avenue, Lima, OH 45804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals