CMS Price Transparency Data

Inguinal hernia repair

Facility: Unitypoint Health - Meriter

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,398
about 0.9× the $3,658 Medicare rate · typically $1,580–$7,463
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,546
Below the fair price — a good deal
about $1,852 under the fair price · 0.4× Medicare
Medicare pays $3,658 Fair price $3,398 This hospital $1,546 Cash price $3,515 Hospital's list price $4,394

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $453 Priciest $1,917

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

A fair price for a Inguinal hernia repair is about $3,398 (about 0.9× the $3,658 Medicare rate). Unitypoint Health - Meriter charges insurers about $1,546, or about $3,515 in cash — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $464 - $6,976 13%
Blue Cross Blue Shieldmajor $464 - $10,922 13%
Cignamajor $984 - $1,476 27%
Humanamajor $487 - $3,409 13%
HealthPartners $962 26%
Meridian $487 - $3,409 13%
Security Health Plan $1,054 - $1,582 29%
+ 5 smaller / regional plans $464 - $4,481

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Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals