CMS Price Transparency Data

Inguinal hernia repair

Facility: Columbia Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$683

about 0.2× the $3,658 Medicare rate · typically $563–$1,474

modeled estimate · not a bill or quote

What this hospital charges insurers

$622

About the fair price

about $61 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $683 This hospital $622 Cash price $639 Hospital's list price $1,277

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $491 Priciest $622

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

A fair price for a Inguinal hernia repair is about $683 (about 0.2× the $3,658 Medicare rate). Columbia Memorial Hospital charges insurers about $622, or about $639 in cash — about the fair price. Located in Hudson, NY.

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	$181 - $4,015	5%
Blue Cross Blue Shieldmajor	$472 - $7,032	13%
Aetnamajor	$582 - $4,301	16%
Cignamajor	$724 - $748	20%
CDPHP	$404 - $5,580	11%
Fidelis Care	$537 - $5,580	15%
MagnaCare	$983	27%
MVP Health Care	$396 - $5,218	11%
+ 5 smaller / regional plans	$529 - $4,951

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (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 639), 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 Columbia Memorial Hospital 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 Columbia Memorial Hospital

Compare: Inguinal hernia repair at other NY hospitals

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