CMS Price Transparency Data

Inguinal hernia repair

Facility: UPMC Northwest

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,213
about 0.9× the $3,658 Medicare rate · typically $2,086–$3,213
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,174
About the fair price
about $39 under the fair price · 0.9× Medicare
Medicare pays $3,658 Fair price $3,213 This hospital $3,174

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 $3,174

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 $3,213 (about 0.9× the $3,658 Medicare rate). UPMC Northwest charges insurers about $3,174 — about the fair price. Located in Seneca, 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 - $3,701 10%
Blue Cross Blue Shieldmajor $471 - $3,633 13%
Aetnamajor $381 - $3,533 10%
AmeriHealth $496 - $3,634 14%
UPMC Health Plan $349 - $3,445 10%
+ 1 smaller / regional plan $541 - $3,634

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals