CMS Price Transparency Data

Inguinal hernia repair

Facility: The Miriam Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,855
about 1.6× the $3,658 Medicare rate · typically $2,866–$6,723
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,717
About the fair price
about $862 over the fair price · 1.8× Medicare
Medicare pays $3,658 Fair price $5,855 This hospital $6,717

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 3 of 4 other RI hospitals charge less.

Cheapest $2,323 Priciest $6,757

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $5,855 (about 1.6× the $3,658 Medicare rate). The Miriam Hospital charges insurers about $6,717 — about the fair price. Located in Providence, RI.

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 $1,071 - $5,164 29%
Blue Cross Blue Shieldmajor $3,186 - $7,463 87%
Aetnamajor $4,116 113%
Cignamajor $22,608 618%
Harvard Pilgrim $11,781 322%
Tufts Health Plan $9,561 261%
+ 1 smaller / regional plan $7,359

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals