CMS Price Transparency Data

Inguinal hernia repair

Facility: UPMC Mercy

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,828
about 0.8× the $3,658 Medicare rate · typically $1,125–$3,664
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,805
About the fair price
about $23 under the fair price · 0.8× Medicare
Medicare pays $3,658 Fair price $2,828 This hospital $2,805

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $482 Priciest $2,805

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

A fair price for a Inguinal hernia repair is about $2,828 (about 0.8× the $3,658 Medicare rate). UPMC Mercy charges insurers about $2,805 — about the fair price. Located in Pittsburgh, PA.

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 $365 10%
Blue Cross Blue Shieldmajor $471 - $6,386 13%
Aetnamajor $3,533 - $3,701 97%
AmeriHealth $502 - $3,634 14%
UPMC Health Plan $349 - $3,453 10%
+ 2 smaller / regional plans $541 - $3,634

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Facility Profile & Credentials

  • Address: 1400 Locust Street, Pittsburgh, PA 15219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals