CMS Price Transparency Data

Inguinal hernia repair

Facility: Upper Valley Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,421
about 2.3× the $3,658 Medicare rate · typically $4,318–$10,123
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,853
About the fair price
about $568 under the fair price · 2.1× Medicare
Medicare pays $3,658 Fair price $8,421 This hospital $7,853

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 $7,853

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 $8,421 (about 2.3× the $3,658 Medicare rate). Upper Valley Medical Center charges insurers about $7,853 — about the fair price. Located in Troy, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $7,853 215%
Blue Cross Blue Shieldmajor $5,057 - $10,833 138%
+ 1 smaller / regional plan $5,263
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 3130 N Dixie Highway, Troy, OH 45373
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals