CMS Price Transparency Data

Inguinal hernia repair

Facility: Queens Hospital Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,673

about 0.7× the $3,658 Medicare rate · typically $1,583–$3,981

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,499

About the fair price

about $174 under the fair price · 0.7× Medicare

Medicare pays $3,658 Fair price $2,673 This hospital $2,499 Cash price $4,001 Hospital's list price $7,204

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 $2,499

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 $2,673 (about 0.7× the $3,658 Medicare rate). Queens Hospital Center charges insurers about $2,499, or about $4,001 in cash — about the fair price. Located in Jamaica, 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	$2,499 - $4,660	68%
Blue Cross Blue Shieldmajor	$600 - $5,623	16%
Aetnamajor	$617 - $3,076	17%
Cignamajor	$4,285	117%
Fidelis Care	$600 - $5,930	16%
MagnaCare	$9,675	264%
Oscar Health	$750 - $4,454	21%
WellCare	$609 - $648	17%
+ 15 smaller / regional plans	$300 - $10,965

Government programs also on file: 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 4,001), 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 Queens Hospital 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 Queens Hospital Center

Compare: Inguinal hernia repair at other NY hospitals

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