CMS Price Transparency Data

Inguinal hernia repair

Facility: Maimonides Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,689

about 0.7× the $3,658 Medicare rate · typically $1,209–$4,123

modeled estimate · not a bill or quote

What this hospital charges insurers

$635

Below the fair price — a good deal

about $2,054 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $2,689 This hospital $635 Cash price $1,575 Hospital's list price $1,575

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 $635

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 $2,689 (about 0.7× the $3,658 Medicare rate). Maimonides Medical Center charges insurers about $635, or about $1,575 in cash — below the fair price — a good deal. Located in Brooklyn, 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	$202 - $6,254	6%
Blue Cross Blue Shieldmajor	$78 - $7,047	2%
Aetnamajor	$505 - $4,469	14%
Cignamajor	$762 - $952	21%
Fidelis Care	$453 - $612	12%
MagnaCare	$7,738	212%
Molina	$630	17%
+ 10 smaller / regional plans	$234 - $13,587

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 1,575), 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 Maimonides Medical Center 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 Maimonides Medical Center

Compare: Inguinal hernia repair at other NY hospitals

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