CMS Price Transparency Data

Inguinal hernia repair

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$902
about 0.2× the $3,658 Medicare rate · typically $344–$3,730
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $902 Cash price $1,952 Hospital's list price $3,828

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.

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 $277 - $3,042 8%
Blue Cross Blue Shieldmajor $280 - $2,760 8%
Aetnamajor $263 - $3,828 7%
Cignamajor $2,603 - $3,062 71%
Humanamajor $276 - $368 8%
AmeriHealth $288 - $339 8%
CareSource $280 - $1,914 8%
Medical Mutual $2,050 - $3,483 56%
Molina $293 - $345 8%
WellCare $276 - $368 8%
+ 13 smaller / regional plans $307 - $3,828
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens