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Lap inguinal hernia repair

CPT 49650 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$5,742
Median
$21,117
Max
$21,117
Range multiplier
3.7×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$5,888$5,888$5,8881.0×
Blue Cross Blue Shield28$5,742$7,132$9,0281.6×
UnitedHealthcare26$5,742$21,117$21,1173.7×
medica (commercial) 94265 [3081118]13$29,352$29,352$29,3521.0×
Humana23$5,742$5,888$31,8285.5×
healthpartners [3081368]13$5,888$5,888$5,8881.0×
govt employees health assn [3081090]13$21,117$21,117$21,1171.0×
Cigna13$33,950$33,950$33,9501.0×
Aetna13$31,828$31,828$31,8281.0×
Meritain Health12$33,950$33,950$33,9501.0×
Medicare22$5,742$5,815$5,8881.0×
national telephone cooperative assn 52103 [3081149]12$21,117$21,117$21,1171.0×
risk admin svs [3081167]12$15,662$15,662$15,6621.0×
key benefit administrators [3081332]11$33,950$33,950$33,9501.0×
employee benefit management 12x44 [3081079]11$30,060$30,060$30,0601.0×
allied benefit systems inc [3081320]11$33,950$33,950$33,9501.0×
coresource 38225 [3081146]11$22,987$22,987$22,9871.0×
midlands choice 47080 [3081136]11$33,950$33,950$33,9501.0×
minnesota health care programs 12k16 [3081295]11$10,715$10,715$10,7151.0×
Multiplan11$30,354$30,354$30,3541.0×
va black hills health care system 12115 [3081206]11$5,888$5,888$5,8881.0×
pacificsource health plans [3081333]11$30,060$30,060$30,0601.0×
preferred one 41147 [3081160]11$33,950$33,950$33,9501.0×
va ccn optum [3081339]11$5,888$5,888$5,8881.0×
rocky mountain admin llc 83028 [3081168]11$28,291$28,291$28,2911.0×
sanford health plan 91184 [3081174]11$29,068$29,068$29,0681.0×
surest [3081369]11$21,117$21,117$21,1171.0×
tlc advantage llc [3081189]11$33,242$33,242$33,2421.0×
avera health plans 46045 [3081018]11$23,739$23,739$23,7391.0×
health partners sx009 [3081102]11$20,926$20,926$20,9261.0×
group and pension administrators inc [3081098]11$30,354$30,354$30,3541.0×
fedmed inc [3081283]11$33,596$33,596$33,5961.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD4$27,289$27,289$5,742$5,742$9,028
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$35,364$35,364$5,888$21,117$33,950

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.