CMS Price Transparency Data

Inguinal hernia repair

Facility: St Lukes Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,630
about 1.0× the $3,658 Medicare rate · typically $3,178–$3,725
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,667
About the fair price
about $37 over the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,630 This hospital $3,667

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 $3,667

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 $3,630 (about 1.0× the $3,658 Medicare rate). St Lukes Hospital charges insurers about $3,667 — about the fair price. Located in Bethlehem, PA.

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✓ Humana CignaKaiser 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 $3,902 107%
Blue Cross Blue Shieldmajor $381 - $11,723 10%
Aetnamajor $3,685 101%
Humanamajor $3,757 103%
AmeriHealth $381 10%
Geisinger $375 - $3,685 10%
UPMC Health Plan $381 - $3,794 10%
+ 2 smaller / regional plans $365 - $457

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Facility Profile & Credentials

  • Address: 801 Ostrum Street, Bethlehem, PA 18015
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals