CMS Price Transparency Data

Inguinal hernia repair

Facility: Highpoint Health-Riverview With Ascension Saint Th

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,331
about 0.6× the $3,658 Medicare rate · typically $917–$3,729
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,221
About the fair price
about $110 under the fair price · 0.6× Medicare
Medicare pays $3,658 Fair price $2,331 This hospital $2,221 Cash price $11,115 Hospital's list price $34,094

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 $2,221

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $2,331 (about 0.6× the $3,658 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $2,221, or about $11,115 in cash — about the fair price. Located in Carthage, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,955 81%
Blue Cross Blue Shieldmajor $2,102 - $2,221 57%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 158 Hospital Drive, Carthage, TN 37030
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals