CMS Price Transparency Data

Inguinal hernia repair

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,503
about 0.7× the $3,658 Medicare rate · typically $1,555–$4,986
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,136
Above the fair price
about $633 over the fair price · 0.9× Medicare
Medicare pays $3,658 Fair price $2,503 This hospital $3,136 Cash price $5,688 Hospital's list price $5,688

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 6 of 8 other MA hospitals charge more for the same procedure.

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 $2,503 (about 0.7× the $3,658 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $3,136, or about $5,688 in cash — above the fair price. Located in Boston, 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 $2,503. 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.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue 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
UnitedHealthcaremajor $1,982 54%
Aetnamajor $1,924 - $4,291 53%
Cignamajor $1,664 45%
Providence Health Plan $6,365 174%
Tufts Health Plan $817 22%
+ 2 smaller / regional plans $5,364 - $6,007

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 51 Blossom Street, Boston, MA 02114
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens