CMS Price Transparency Data

Inguinal hernia repair

Facility: Aurora Medical Ctr Oshkosh

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9,296
about 2.5× the $3,658 Medicare rate · typically $4,180–$11,344
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,953
About the fair price
about $657 over the fair price · 2.7× Medicare
Medicare pays $3,658 Fair price $9,296 This hospital $9,953

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $453 Priciest $9,953

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 $9,296 (about 2.5× the $3,658 Medicare rate). Aurora Medical Ctr Oshkosh charges insurers about $9,953 — about the fair price. Located in Oshkosh, 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✓ Aetna✓ Cigna HumanaKaiser 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 $9,882 - $10,843 270%
Blue Cross Blue Shieldmajor $8,456 - $10,914 231%
Aetnamajor $8,243 225%
Cignamajor $13,500 369%
Molina $9,071 248%
Quartz $8,690 - $10,170 238%
+ 8 smaller / regional plans $7,978 - $11,699

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Facility Profile & Credentials

  • Address: 855 N Westhaven Drive, Oshkosh, WI 54904
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals