CMS Price Transparency Data

Inguinal hernia repair

Facility: Trinitas Regional Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,463
about 1.2× the $3,658 Medicare rate · typically $4,020–$5,655
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,857
Below the fair price — a good deal
about $606 under the fair price · 1.1× Medicare
Medicare pays $3,658 Fair price $4,463 This hospital $3,857 Cash price $5,855

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 $4,463 (about 1.2× the $3,658 Medicare rate). Trinitas Regional Medical Center charges insurers about $3,857, or about $5,855 in cash — below the fair price — a good deal. Located in Elizabeth, 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 - $6,341 108%
Blue Cross Blue Shieldmajor $268 - $16,139 7%
Aetnamajor $2,612 - $3,857 71%
Cignamajor $3,765 - $3,965 103%
Humanamajor $3,857 105%
AmeriHealth $2,891 79%
Clover Health $3,857 105%
Fidelis Care $3,857 105%
WellCare $7,675 210%
+ 1 smaller / regional plan $7,714

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Facility Profile & Credentials

  • Address: 225 Williamson Street, Elizabeth, NJ 07207
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals