CMS Price Transparency Data

Inguinal hernia repair

Facility: Carolina East Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$718

about 0.2× the $3,658 Medicare rate · typically $410–$4,803

modeled estimate · not a bill or quote

What this hospital charges insurers

$471

Below the fair price — a good deal

about $247 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $718 This hospital $471 Cash price $1,106 Hospital's list price $1,844

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NC hospitals compared.

Cheapest $375 Priciest $480

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

A fair price for a Inguinal hernia repair is about $718 (about 0.2× the $3,658 Medicare rate). Carolina East Medical Center charges insurers about $471, or about $1,106 in cash — below the fair price — a good deal. Located in New Bern, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$645	18%
Blue Cross Blue Shieldmajor	$1,287	35%
Aetnamajor	$1,634	45%
Cignamajor	$1,678	46%
Humanamajor	$471	13%
+ 5 smaller / regional plans	$471 - $1,666

Government programs also on file: Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,106), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Carolina East Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carolina East Medical Center

Compare: Inguinal hernia repair at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.