CMS Price Transparency Data

Inguinal hernia repair

Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,639

about 1.0× the $3,658 Medicare rate · typically $1,016–$6,134

modeled estimate · not a bill or quote

What this hospital charges insurers

$493

Below the fair price — a good deal

about $3,146 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $3,639 This hospital $493 Cash price $21,732 Hospital's list price $39,513

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 5 of 8 other CA hospitals charge more for the same procedure.

Cheapest $434 Priciest $593

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $3,639 (about 1.0× the $3,658 Medicare rate). Uc San Diego Health Hillcrest - Hillcrest Med Ctr charges insurers about $493, or about $21,732 in cash — below the fair price — a good deal. Located in San Diego, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$493 - $27,659	13%
Blue Cross Blue Shieldmajor	$65 - $23,171	2%
Aetnamajor	$65 - $19,994	2%
Cignamajor	$4,742 - $23,708	130%
Humanamajor	$4,742 - $33,586	130%
Kaiser Permanentemajor	$26,474 - $39,513	724%
Health Net	$88 - $25,684	2%
HealthPartners	$25,684	702%
Molina	$82 - $4,484	2%
Sentara	$716	20%
+ 67 smaller / regional plans	$65 - $53,343

Government programs also on file: Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 21,732), 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr

Compare: Inguinal hernia repair at other CA hospitals

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