CMS Price Transparency Data

Inguinal hernia repair

Facility: Cannon Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$680

about 0.2× the $3,658 Medicare rate · typically $502–$2,019

modeled estimate · not a bill or quote

What this hospital charges insurers

$582

Below the fair price — a good deal

about $98 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $680 This hospital $582 Cash price $351 Hospital's list price $702

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 7 of 8 other SC hospitals charge more for the same procedure.

Cheapest $498 Priciest $3,343

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

A fair price for a Inguinal hernia repair is about $680 (about 0.2× the $3,658 Medicare rate). Cannon Memorial Hospital charges insurers about $582, or about $351 in cash — below the fair price — a good deal. Located in Pickens, SC.

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	$480 - $832	13%
Blue Cross Blue Shieldmajor	$480 - $674	13%
Aetnamajor	$480 - $768	13%
Cignamajor	$494 - $872	14%
Humanamajor	$365 - $1,285	10%
Ambetter (Centene)	$686	19%
Bright Health	$501 - $645	14%
Devoted Health	$480 - $489	13%
GEHA	$832	23%
Molina	$494 - $696	14%
SelectHealth	$365 - $400	10%
+ 19 smaller / regional plans	$354 - $872

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 351), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Cannon Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cannon Memorial Hospital

Compare: Inguinal hernia repair at other SC hospitals

Conway Medical Center · Conway $498
Anmed Health · Anderson $645
Aiken Regional Medical Center · Aiken $1,339
Piedmont Medical Center · Rock Hill $2,793
MUSC Medical Center · Charleston $2,872
Prisma Health Greer Memorial Hospital · Spartanburg $3,093
MUSC Health Marion Medical Center · Mullins $3,166
MUSC Health Florence Medical Center · Florence $3,343

Insurance negotiated median for the same procedure, sorted lowest first.