CMS Price Transparency Data

Inguinal hernia repair

Facility: Kettering Health Troy

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,582
about 2.3× the $3,658 Medicare rate · typically $4,417–$10,008
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,535
About the fair price
about $47 under the fair price · 2.3× Medicare
Medicare pays $3,658 Fair price $8,582 This hospital $8,535

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 $8,535

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 $8,582 (about 2.3× the $3,658 Medicare rate). Kettering Health Troy charges insurers about $8,535 — 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.

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 $5,445 - $10,499 149%
Blue Cross Blue Shieldmajor $5,335 - $12,292 146%
Aetnamajor $3,509 - $14,015 96%
Cignamajor $18,609 509%
CareSource $5,423 148%
Medical Mutual $7,642 - $10,917 209%
Molina $3,684 - $7,285 101%
+ 2 smaller / regional plans $7,369 - $9,427

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 600 West Main Street, Troy, OH 45373
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals