CMS Price Transparency Data
Inguinal hernia repair
Facility: Ellis Hospital
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,425
about 0.7× the $3,658 Medicare rate · typically $845–$5,622
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $2,425 Cash price $854 Hospital's list price $1,707
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,366 | 37% |
| Blue Cross Blue Shieldmajor | $4,670 - $6,647 | 128% |
| Aetnamajor | $1,417 - $1,451 | 39% |
| CDPHP | $4,892 - $6,149 | 134% |
| MVP Health Care | $7,850 | 215% |
| + 6 smaller / regional plans | $854 - $9,028 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Ellis Hospital
Compare: Inguinal hernia repair at other NY hospitals
- Bertrand Chaffee Hospital · Springville $491
- The University of Vermont Health Network-Alice Hy · Malone $509
- Kenmore Mercy Hospital · Kenmore $524
- United Memorial Medical Center · Batavia $526
- Saratoga Hospital · Saratoga Springs $526
- Geneva General Hospital · Geneva $536
- St James Hospital · Hornell $547
- Mercy Hospital of Buffalo · Buffalo $549
Insurance negotiated median for the same procedure, sorted lowest first.