CMS Price Transparency Data

Inguinal hernia repair

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,897
about 1.1× the $3,658 Medicare rate · typically $1,826–$4,572
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,880
Above the fair price
about $983 over the fair price · 1.3× Medicare
Medicare pays $3,658 Fair price $3,897 This hospital $4,880 Cash price $9,791 Hospital's list price $42,019

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $506 Priciest $4,880

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

A fair price for a Inguinal hernia repair is about $3,897 (about 1.1× the $3,658 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $4,880, or about $9,791 in cash — above the fair price. Located in Gallatin, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,897. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna AetnaHumanaKaiser 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 $5,349 146%
Blue Cross Blue Shieldmajor $1,778 - $1,932 49%
Cignamajor $4,880 133%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals