CMS Price Transparency Data

Inguinal hernia repair

Facility: Central Vermont Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,156

about 0.3× the $3,658 Medicare rate · typically $967–$1,540

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,158

About the fair price

about $2 over the fair price · 0.3× Medicare

Medicare pays $3,658 Fair price $1,156 This hospital $1,158 Cash price $1,338 Hospital's list price $1,338

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

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

Cheapest $472 Priciest $1,158

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

A fair price for a Inguinal hernia repair is about $1,156 (about 0.3× the $3,658 Medicare rate). Central Vermont Medical Center charges insurers about $1,158, or about $1,338 in cash — about the fair price. Located in Barre, VT.

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	$483 - $3,497	13%
Blue Cross Blue Shieldmajor	$493 - $6,098	13%
Aetnamajor	$483 - $3,497	13%
Cignamajor	$1,160	32%
Humanamajor	$474 - $3,357	13%
Harvard Pilgrim	$1,070	29%
MVP Health Care	$493 - $3,257	13%
+ 2 smaller / regional plans	$483 - $3,497

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 1,338), 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 Central Vermont Medical Center 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 Central Vermont Medical Center

Compare: Inguinal hernia repair at other VT hospitals

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