CMS Price Transparency Data

Inguinal hernia repair

Facility: Mercy Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,798

about 0.8× the $3,658 Medicare rate · typically $900–$4,395

modeled estimate · not a bill or quote

What this hospital charges insurers

$932

Below the fair price — a good deal

about $1,866 under the fair price · 0.3× Medicare

Medicare pays $3,658 Fair price $2,798 This hospital $932 Cash price $5,560 Hospital's list price $8,554

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 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 $2,798 (about 0.8× the $3,658 Medicare rate). Mercy Medical Center charges insurers about $932, or about $5,560 in cash — below the fair price — a good deal. Located in Canton, 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	$314 - $6,757	9%
Blue Cross Blue Shieldmajor	$500 - $9,133	14%
Aetnamajor	$500 - $14,241	14%
Cignamajor	$500 - $7,420	14%
Humanamajor	$500 - $3,261	14%
AmeriHealth	$345 - $2,167	9%
CareSource	$323 - $2,029	9%
Molina	$345 - $2,069	9%
Oscar Health	$280 - $5,476	8%
UniCare	$526 - $3,424	14%
+ 18 smaller / regional plans	$325 - $14,241

Excludes 2 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 5,560), 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 Mercy 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 Mercy Medical Center

Compare: Inguinal hernia repair at other OH hospitals

Southern Ohio Medical Center · Portsmouth $623
Fisher-Titus Hospital · Norwalk $661
Union Hospital · Dover $723
Genesis Hospital · Zanesville $743
Southwest General Health Center · Middleburg Heights $843
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.