CMS Price Transparency Data

Inguinal hernia repair

Facility: Emerson Hospital -

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,441

about 1.2× the $3,658 Medicare rate · typically $3,007–$5,512

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,658

Below the fair price — a good deal

about $783 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $4,441 This hospital $3,658 Cash price $8,527 Hospital's list price $11,369

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MA hospitals compared.

Cheapest $1,371 Priciest $4,291

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 $4,441 (about 1.2× the $3,658 Medicare rate). Emerson Hospital - charges insurers about $3,658, or about $8,527 in cash — below the fair price — a good deal. Located in W Concord, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$3,658 - $8,527	100%
Blue Cross Blue Shieldmajor	$3,658 - $6,253	100%
Aetnamajor	$3,502	96%
Cignamajor	$8,322	228%
Tufts Health Plan	$3,658	100%

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 8,527), 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 Emerson 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 Emerson 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
South Shore Hospital · South Weymouth $3,831
Milford Regional Medical Center · Milford $3,837
Anna Jaques Hospital · Newburyport $4,291

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