CMS Price Transparency Data

Inguinal hernia repair

Facility: Saint Thomas Highlands Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,468
about 0.7× the $3,658 Medicare rate · typically $1,941–$3,656
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,941
Below the fair price — a good deal
about $527 under the fair price · 0.5× Medicare
Medicare pays $3,658 Fair price $2,468 This hospital $1,941

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 4 charge less, among the 9 TN hospitals compared.

Cheapest $506 Priciest $1,986

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 $2,468 (about 0.7× the $3,658 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $1,941 — below the fair price — a good deal. Located in Sparta, TN.

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

✓ Cigna UnitedHealthcareBlue Cross Blue ShieldAetnaHumanaKaiser 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
Cignamajor $1,890 - $3,580 52%
+ 1 smaller / regional plan $1,338

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals