CMS Price Transparency Data

Inguinal hernia repair

Facility: Robert Wood Johnson University Hospital at Rahway

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,405

about 1.2× the $3,658 Medicare rate · typically $4,048–$5,637

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,857

Below the fair price — a good deal

about $548 under the fair price · 1.1× Medicare

Medicare pays $3,658 Fair price $4,405 This hospital $3,857 Cash price $4,627

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 4 of 8 other NJ hospitals charge more for the same procedure.

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 $4,405 (about 1.2× the $3,658 Medicare rate). Robert Wood Johnson University Hospital at Rahway charges insurers about $3,857, or about $4,627 in cash — below the fair price — a good deal. Located in Rahway, NJ.

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	$3,934 - $5,982	108%
Blue Cross Blue Shieldmajor	$391 - $3,857	11%
Aetnamajor	$3,857 - $11,802	105%
Cignamajor	$2,544 - $3,405	70%
Humanamajor	$3,857	105%
Clover Health	$3,857	105%
Fidelis Care	$3,857	105%
WellCare	$7,675	210%
+ 1 smaller / regional plan	$6,749

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 4,627), 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 Robert Wood Johnson University Hospital at Rahway 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 Robert Wood Johnson University Hospital at Rahway

Compare: Inguinal hernia repair at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $860
Cape Regional Medical Center Inc · Cape May Court House $3,681
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.