CMS Price Transparency Data

Inguinal hernia repair

Facility: UPMC Passavant

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,772
about 0.8× the $3,658 Medicare rate · typically $1,105–$3,639
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,115
About the fair price
about $343 over the fair price · 0.9× Medicare
Medicare pays $3,658 Fair price $2,772 This hospital $3,115 Cash price $5,322 Hospital's list price $8,870

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 $3,115

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 $2,772 (about 0.8× the $3,658 Medicare rate). UPMC Passavant charges insurers about $3,115, or about $5,322 in cash — 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $6,207 13%
Aetnamajor $3,533 - $3,701 97%
Cignamajor $3,016 - $3,548 82%
Humanamajor $7,540 - $8,249 206%
AmeriHealth $496 - $3,634 14%
UPMC Health Plan $349 - $3,127 10%
+ 4 smaller / regional plans $541 - $8,249
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9100 Babcock Boulevard, Pittsburgh, PA 15237
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals