CMS Price Transparency Data
Inguinal hernia repair
Facility: Caribbean Medical Center
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$629
about 0.2× the $3,658 Medicare rate · typically $317–$2,081
modeled estimate · not a bill or quote
What this hospital charges insurers
$698
About the fair price
about $69 over the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $629 This hospital $698 Hospital's list price $868
A fair price for a Inguinal hernia repair is about $629 (about 0.2× the $3,658 Medicare rate). Caribbean Medical Center charges insurers about $698 — about the fair price. Located in Fajardo, PR.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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 |
|---|---|---|
| Humanamajor | $489 | 13% |
| + 20 smaller / regional plans | $489 - $951 |
Government programs also on file: Medicare, Military & VA.
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