CMS Price Transparency Data

Inguinal hernia repair

Facility: St Joseph's University Medical Center Inc

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,904

about 1.1× the $3,658 Medicare rate · typically $1,561–$4,814

modeled estimate · not a bill or quote

What this hospital charges insurers

$860

Below the fair price — a good deal

about $3,044 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $3,904 This hospital $860 Cash price $1,748 Hospital's list price $1,748

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $860 Priciest $3,926

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

A fair price for a Inguinal hernia repair is about $3,904 (about 1.1× the $3,658 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $860, or about $1,748 in cash — below the fair price — a good deal. Located in Paterson, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$418 - $5,706	11%
Blue Cross Blue Shieldmajor	$558 - $12,112	15%
Aetnamajor	$325 - $8,677	9%
Cignamajor	$1,748	48%
Ambetter (Centene)	$558 - $6,380	15%
AmeriHealth	$558 - $4,254	15%
Clover Health	$558 - $4,254	15%
Fidelis Care	$418 - $4,466	11%
Health Net	$803	22%
+ 4 smaller / regional plans	$558 - $5,256

Excludes 2 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 1,748), 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 St Joseph's University Medical Center Inc 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 St Joseph's University Medical Center Inc

Compare: Inguinal hernia repair at other NJ hospitals

Cape Regional Medical Center Inc · Cape May Court House $3,681
Robert Wood Johnson University Hospital at Rahway · Rahway $3,857
Trinitas Regional Medical Center · Elizabeth $3,857
Capital Health Regional Medical Center · Trenton $3,857
Newton Medical Center · Newton $3,895
AHS Hospital Corp · Hackettstown $3,895
Jfk University Medical Center · Edison $3,910
Centrastate Medical Center · Freehold $3,926

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