CMS Price Transparency Data

Inguinal hernia repair

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,897

about 1.1× the $3,658 Medicare rate · typically $2,979–$6,183

modeled estimate · not a bill or quote

Medicare pays $3,658 Fair price $3,897 Cash price $1,001 Hospital's list price $1,335

How we calculate the fair BaseRate →

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✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser 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	$500 - $727	14%
Cignamajor	$660	18%
+ 13 smaller / regional plans	$493 - $801

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 1,001), 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 Crystal Clinic Orthopaedic 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 Crystal Clinic Orthopaedic 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
Mercy Medical Center · Canton $932
Galion Community Hospital · Galion $1,011
Henry County Hospital, Inc · Napoleon $1,251

Insurance negotiated median for the same procedure, sorted lowest first.