CMS Price Transparency Data

Inguinal hernia repair

Facility: Sanford Usd Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,653
about 1.0× the $3,658 Medicare rate · typically $3,412–$3,812
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,626
About the fair price
about $27 under the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,653 This hospital $3,626

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

On the higher side — 5 of 7 other SD hospitals charge less.

Cheapest $486 Priciest $7,652

Black dot = this hospital, among the 8 SD hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $3,653 (about 1.0× the $3,658 Medicare rate). Sanford Usd Medical Center charges insurers about $3,626 — about the fair price. Located in Sioux Falls, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $3,635 99%
Blue Cross Blue Shieldmajor $1,533 - $6,527 42%
Aetnamajor $3,635 99%
HealthPartners $3,635 99%
Sanford Health Plan $527 - $3,353 14%
UCare $3,600 - $3,626 98%
+ 1 smaller / regional plan $3,626 - $3,706
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals