CMS Price Transparency Data

Inguinal hernia repair

Facility: Signature Healthcare Brockton Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,400

about 1.2× the $3,658 Medicare rate · typically $2,991–$5,522

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,700

About the fair price

about $300 over the fair price · 1.3× Medicare

Medicare pays $3,658 Fair price $4,400 This hospital $4,700

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $1,371 Priciest $4,700

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

A fair price for a Inguinal hernia repair is about $4,400 (about 1.2× the $3,658 Medicare rate). Signature Healthcare Brockton Hospital charges insurers about $4,700 — about the fair price. Located in Brockton, MA.

What each insurance company pays

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

5 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	$4,287	117%
Blue Cross Blue Shieldmajor	$5,244	143%
Aetnamajor	$3,998	109%
Cignamajor	$5,813	159%
Humanamajor	$4,191	115%
Harvard Pilgrim	$6,313	173%
HealthPartners	$4,275	117%
Tufts Health Plan	$4,191	115%
+ 2 smaller / regional plans	$4,107 - $5,134

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 Signature Healthcare Brockton Hospital 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 Signature Healthcare Brockton Hospital

Compare: Inguinal hernia repair at other MA hospitals

Metrowest Medical Center · Framingham $1,371
St Vincent Hospital · Worcester $1,371
The Shriners' Hospital for Children - Boston · Boston $3,136
Cambridge Health Alliance · Cambridge $3,370
Beth Israel Deaconess Hospital - Milton · Milton $3,627
Emerson Hospital - · W Concord $3,658
South Shore Hospital · South Weymouth $3,831
Milford Regional Medical Center · Milford $3,837

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