CMS Price Transparency Data

Inguinal hernia repair

Facility: St Vincent Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,045
about 1.1× the $3,658 Medicare rate · typically $1,338–$5,399
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,371
Below the fair price — a good deal
about $2,674 under the fair price · 0.4× Medicare
Medicare pays $3,658 Fair price $4,045 This hospital $1,371

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Lowest price of the 9 MA hospitals we have prices for — a strong deal.

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 $4,045 (about 1.1× the $3,658 Medicare rate). St Vincent Hospital charges insurers about $1,371 — below the fair price — a good deal. Located in Worcester, MA.

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $12,185 333%
Cignamajor $7,418 - $13,066 203%
Health Net $1,371 37%
+ 1 smaller / regional plan $1,371
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals