CMS Price Transparency Data

Inguinal hernia repair

Facility: San Juan Regional Medical Center Inc

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$5,192

about 1.4× the $3,658 Medicare rate · typically $3,662–$6,516

modeled estimate · not a bill or quote

Medicare pays $3,658 Fair price $5,192 Cash price $1,082 Hospital's list price $2,165

How we calculate the fair BaseRate →

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$1,649 - $2,814	45%
Aetnamajor	$1,948	53%
Cignamajor	$1,686	46%
Humanamajor	$1,732 - $3,925	47%
Health Net	$1,732	47%
Presbyterian	$2,940 - $6,245	80%
+ 7 smaller / regional plans	$1,407 - $9,438

Excludes 3 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 1,082), 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 San Juan Regional 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 San Juan Regional Medical Center Inc

Compare: Inguinal hernia repair at other NM hospitals

Gila Regional Medical Center · Silver City $1,139
Eastern New Mexico Medical Center · Roswell $3,662
Mountain View Regional Medical Center · Las Cruces $3,662
Christus St Vincent Regional Medical Center · Santa Fe $3,724
Covenant Health Hobbs Hospital · Hobbs $3,729
Dr Dan C Trigg Memorial Hospital · Tucumcari $4,096
Carlsbad Medical Center · Carlsbad $4,334
Presbyterian Hospital · Albuquerque $5,589

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