Initial groin hernia repair in young child at Mayo Clinic

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR RPR HERNIA 6MO-<5YR REDUC INIT

Rochester, MN

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How this price compares nationally

Mayo Clinic’s median price of $3.4k is 45% below the median hospital's median price ($6.2k), higher than 26% of the 1,646 hospitals reporting CPT 49500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 49500 at Mayo Clinic

Negotiated rates from the hospital’s own file: 16 payers, 69 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
2	Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
3	Optum veteran affairs optum [1054] professional · fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
4	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient	$195	$195	—	—	—	$195 – $195
5	Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient	$195	$195	—	—	—	$195 – $195
6	Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient	$197	$197	—	—	—	$197 – $197
7	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient	$201	$201	—	—	—	$201 – $201
8	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient	$201	$201	—	—	—	$201 – $201
9	Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
10	Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
11	Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
12	Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
13	Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient	$382	$382	—	—	—	$382 – $382
14	Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient	$382	$382	—	—	—	$382 – $382
15	Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient	$573	$573	—	—	—	$573 – $573
16	Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
17	Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
18	Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
19	Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
20	Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
21	Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
22	Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
23	Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
24	Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
25	Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k

Page 1 of 3 · 69 rates

Last updated: Aug 14, 2026

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