CMS Price Transparency Data

Inguinal hernia repair

Facility: Lutheran Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,341
about 0.9× the $3,658 Medicare rate · typically $1,491–$3,465
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,272
About the fair price
about $69 under the fair price · 0.9× Medicare
Medicare pays $3,658 Fair price $3,341 This hospital $3,272 Cash price $9,257 Hospital's list price $14,241

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 $3,272

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 $3,341 (about 0.9× the $3,658 Medicare rate). Lutheran Hospital charges insurers about $3,272, or about $9,257 in cash — about the fair price. Located in Cleveland, 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 $1,885 - $8,829 52%
Blue Cross Blue Shieldmajor $2,083 - $11,158 57%
Aetnamajor $3,272 - $14,241 89%
Cignamajor $3,370 - $11,393 92%
Humanamajor $3,272 - $12,105 89%
AmeriHealth $2,183 60%
CareSource $2,123 58%
Devoted Health $3,272 89%
Molina $2,083 57%
Oscar Health $4,291 - $5,476 117%
Paramount $2,044 56%
UniCare $3,435 94%
UPMC Health Plan $3,272 - $8,545 89%
+ 19 smaller / regional plans $2,083 - $12,817
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals