CMS Price Transparency Data

Inguinal hernia repair

Facility: Northwest Community Hospital 1

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,694

about 1.3× the $3,658 Medicare rate · typically $3,687–$7,657

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,824

Below the fair price — a good deal

about $870 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $4,694 This hospital $3,824

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $387 Priciest $3,824

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

A fair price for a Inguinal hernia repair is about $4,694 (about 1.3× the $3,658 Medicare rate). Northwest Community Hospital 1 charges insurers about $3,824 — below the fair price — a good deal. Located in Arlington Heights, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$4,035	110%
Blue Cross Blue Shieldmajor	$1,016 - $4,888	28%
Aetnamajor	$3,811 - $3,837	104%

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, 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 Northwest Community Hospital 1 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 Northwest Community Hospital 1

Compare: Inguinal hernia repair at other IL hospitals

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