CMS Price Transparency Data

Inguinal hernia repair

Facility: Prosser Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$544
about 0.1× the $3,658 Medicare rate · typically $429–$2,334
modeled estimate · not a bill or quote
What this hospital charges insurers
$589
About the fair price
about $45 over the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $544 This hospital $589 Cash price $855 Hospital's list price $1,554

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 7 of 8 other WA hospitals charge less.

Cheapest $413 Priciest $761

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

A fair price for a Inguinal hernia repair is about $544 (about 0.1× the $3,658 Medicare rate). Prosser Memorial Hospital charges insurers about $589, or about $855 in cash — about the fair price. Located in Prosser, WA.

What each insurance company pays

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

6 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 $297 - $589 8%
Blue Cross Blue Shieldmajor $709 - $752 19%
Aetnamajor $695 - $716 19%
Cignamajor $619 17%
Humanamajor $589 16%
Kaiser Permanentemajor $297 - $1,086 8%
Ambetter (Centene) $1,061 29%
Amerigroup $315 9%
Molina $312 - $589 9%
WellCare $589 16%
+ 5 smaller / regional plans $297 - $752
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals