CMS Price Transparency Data

Inguinal hernia repair

Facility: Clarion Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,336
about 0.9× the $3,658 Medicare rate · typically $1,311–$3,771
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,531
About the fair price
about $195 over the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,336 This hospital $3,531

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $482 Priciest $3,531

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $3,336 (about 0.9× the $3,658 Medicare rate). Clarion Hospital charges insurers about $3,531 — about the fair price. Located in Clarion, PA.

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 $3,395 93%
Blue Cross Blue Shieldmajor $3,361 - $7,623 92%
Aetnamajor $3,497 - $7,809 96%
Cignamajor $3,395 93%
AmeriHealth $349 - $3,395 10%
Devoted Health $3,599 98%
Geisinger $384 - $3,565 10%
UPMC Health Plan $397 - $3,768 11%
+ 7 smaller / regional plans $349 - $7,978
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals