CMS Price Transparency Data

Inguinal hernia repair

Facility: Genesis Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$661

about 0.2× the $3,658 Medicare rate · typically $377–$1,823

modeled estimate · not a bill or quote

What this hospital charges insurers

$743

About the fair price

about $82 over the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $661 This hospital $743 Cash price $10,721 Hospital's list price $17,869

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $623 Priciest $1,304

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 $661 (about 0.2× the $3,658 Medicare rate). Genesis Hospital charges insurers about $743, or about $10,721 in cash — about the fair price. Located in Zanesville, 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	$3,733 - $6,330	102%
Blue Cross Blue Shieldmajor	$3,733 - $19,016	102%
Aetnamajor	$3,733 - $6,330	102%
Cignamajor	$13,546 - $22,968	370%
Humanamajor	$3,733 - $6,330	102%
CareSource	$3,733 - $6,330	102%
HealthPartners	$13,546 - $22,968	370%
Molina	$3,255 - $5,141	89%
UniCare	$495 - $743	14%
WellCare	$3,733 - $6,330	102%
+ 72 smaller / regional plans	$495 - $22,968

Government programs also on file: Medicare, Military & VA.

Excludes 9 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 10,721), 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 Genesis Hospital 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 Genesis Hospital

Compare: Inguinal hernia repair at other OH hospitals

Southern Ohio Medical Center · Portsmouth $623
Fisher-Titus Hospital · Norwalk $661
Union Hospital · Dover $723
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.