CMS Price Transparency Data

Inguinal hernia repair

Facility: Memorial Hospital of Lafayette County

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$809

about 0.2× the $3,658 Medicare rate · typically $457–$3,100

modeled estimate · not a bill or quote

What this hospital charges insurers

$536

Below the fair price — a good deal

about $273 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $809 This hospital $536 Cash price $914 Hospital's list price $1,142

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WI hospitals compared.

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 $809 (about 0.2× the $3,658 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $536, or about $914 in cash — below the fair price — a good deal. Located in Darlington, 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✓ Humana CignaKaiser 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	$430 - $699	12%
Blue Cross Blue Shieldmajor	$430 - $536	12%
Aetnamajor	$536 - $742	15%
Humanamajor	$536	15%
Dean Health Plan	$430 - $4,195	12%
Quartz	$430 - $771	12%
+ 3 smaller / regional plans	$430 - $3,312

Government programs also on file: Medicaid.

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 914), 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 Memorial Hospital of Lafayette County 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 Memorial Hospital of Lafayette County

Compare: Inguinal hernia repair at other WI hospitals

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