CMS Price Transparency Data

Inguinal hernia repair

Facility: Mount Carmel East & West

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,882
about 1.1× the $3,658 Medicare rate · typically $1,764–$9,449
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,361
Well above the fair price
about $5,479 over the fair price · 2.6× Medicare
Medicare pays $3,658 Fair price $3,882 This hospital $9,361 Cash price $31,693

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $623 Priciest $9,361

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $3,882 (about 1.1× the $3,658 Medicare rate). Mount Carmel East & West charges insurers about $9,361, or about $31,693 in cash — well above the fair price. Located in Columbus, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,882. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $3,386 - $9,245 93%
Blue Cross Blue Shieldmajor $3,320 - $21,836 91%
Aetnamajor $3,320 - $8,144 91%
Cignamajor $5,933 162%
GEHA $9,245 253%
HealthPartners $5,933 162%
Medical Mutual $8,484 - $19,978 232%
MVP Health Care $5,933 162%
Oscar Health $5,589 - $9,477 153%
Priority Health $5,933 162%
+ 13 smaller / regional plans $632 - $21,836
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals