CMS Price Transparency Data

Inguinal hernia repair

Facility: Fort Hamilton Hughes Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,302
about 1.4× the $3,658 Medicare rate · typically $3,844–$8,239
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,589
Above the fair price
about $3,287 over the fair price · 2.3× Medicare
Medicare pays $3,658 Fair price $5,302 This hospital $8,589

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 $8,589

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 $5,302 (about 1.4× the $3,658 Medicare rate). Fort Hamilton Hughes Memorial Hospital charges insurers about $8,589 — above the fair price. Located in Hamilton, 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 $5,302. 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 $5,508 - $10,499 151%
Blue Cross Blue Shieldmajor $5,354 - $12,338 146%
Aetnamajor $3,550 - $14,015 97%
Cignamajor $18,609 509%
CareSource $5,486 150%
Medical Mutual $7,642 - $10,917 209%
Molina $3,727 - $7,370 102%
+ 2 smaller / regional plans $7,454 - $9,537

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: 630 Eaton Avenue, Hamilton, OH 45013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals