Inguinal hernia repair
Facility: Falmouth Hospital
Billing Code: 49505 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $5,194 (about 1.4× the $3,658 Medicare rate). Falmouth Hospital charges insurers about $7,240, or about $4,202 in cash — above the fair price. Located in Falmouth, MA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,194. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $4,334 - $7,349 | 118% |
| Blue Cross Blue Shieldmajor | $4,590 - $7,783 | 125% |
| Harvard Pilgrim | $5,636 - $9,557 | 154% |
| UniCare | $870 | 24% |
| WellSense | $11,191 - $18,975 | 306% |
| + 4 smaller / regional plans | $2,613 - $17,521 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Falmouth 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.