CMS Price Transparency Data
Inguinal hernia repair
Facility: Hospital for Special Surgery
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,009
about 0.8× the $3,658 Medicare rate · typically $959–$6,811
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $3,009 Hospital's list price $8,000
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 | $1,040 - $14,759 | 28% |
| Blue Cross Blue Shieldmajor | $70 - $12,543 | 2% |
| Aetnamajor | $1,176 - $12,511 | 32% |
| Cignamajor | $1,128 - $12,245 | 31% |
| GEHA | $12,177 | 333% |
| Harvard Pilgrim | $14,759 | 403% |
| Molina | $8,237 | 225% |
| + 12 smaller / regional plans | $641 - $12,543 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Hospital for Special Surgery
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.