CMS Price Transparency Data

Inguinal hernia repair

Facility: Grant Regional Health Center

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,849
about 0.5× the $3,658 Medicare rate · typically $628–$6,028
modeled estimate · not a bill or quote
What this hospital charges insurers
$725
Below the fair price — a good deal
about $1,124 under the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $1,849 This hospital $725 Cash price $1,235 Hospital's list price $1,900

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 3 charge more and 5 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 $1,849 (about 0.5× the $3,658 Medicare rate). Grant Regional Health Center charges insurers about $725, or about $1,235 in cash — below the fair price — a good deal. Located in Lancaster, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $707 - $725 19%
Blue Cross Blue Shieldmajor $1,042 28%
Dean Health Plan $72 2%
Quartz $453 - $986 12%
+ 4 smaller / regional plans $725 - $2,917

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Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals