CMS Price Transparency Data

Inguinal hernia repair

Facility: York Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,278
about 0.3× the $3,658 Medicare rate · typically $673–$2,412
modeled estimate · not a bill or quote
What this hospital charges insurers
$653
Below the fair price — a good deal
about $625 under the fair price · 0.2× Medicare
Medicare pays $3,658 Fair price $1,278 This hospital $653 Cash price $830 Hospital's list price $1,384

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $532 Priciest $1,014

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $1,278 (about 0.3× the $3,658 Medicare rate). York Hospital charges insurers about $653, or about $830 in cash — below the fair price — a good deal. Located in York, ME.

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 $727 20%
Aetnamajor $624 17%
Cignamajor $613 17%
Harvard Pilgrim $653 18%
+ 1 smaller / regional plan $619
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals