CMS Price Transparency Data
Inguinal hernia repair
Facility: Brigham and Women's Hospital
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$5,288
about 1.4× the $3,658 Medicare rate · typically $3,052–$6,101
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $5,288 Cash price $2,078 Hospital's list price $2,770
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $4,398 | 120% |
| Blue Cross Blue Shieldmajor | $5,056 | 138% |
| + 1 smaller / regional plan | $1,061 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Brigham and Women's 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.