CMS Price Transparency Data
Inguinal hernia repair
Facility: Shore Medical Center
Billing Code: 49505 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$4,303
about 1.2× the $3,658 Medicare rate · typically $3,712–$4,980
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $4,303 Hospital's list price $3,500
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 | $507 - $5,999 | 14% |
| Blue Cross Blue Shieldmajor | $3,575 - $3,681 | 98% |
| Aetnamajor | $507 - $18,899 | 14% |
| Cignamajor | $11,507 | 315% |
| AmeriHealth | $2,100 - $3,857 | 57% |
| Clover Health | $3,857 | 105% |
| Fidelis Care | $507 | 14% |
| + 2 smaller / regional plans | $507 - $5,999 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Shore Medical Center
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
- 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
Insurance negotiated median for the same procedure, sorted lowest first.