CMS Price Transparency Data

Inguinal hernia repair

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$800

about 0.2× the $3,658 Medicare rate · typically $482–$2,505

modeled estimate · not a bill or quote

What this hospital charges insurers

$482

Below the fair price — a good deal

about $318 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $800 This hospital $482 Cash price $454 Hospital's list price $535

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Lowest price of the 9 PA hospitals we have prices for — a strong deal.

Cheapest $482 Priciest $564

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 $800 (about 0.2× the $3,658 Medicare rate). Chan Soon- Shiong Medical Center at Windber charges insurers about $482, or about $454 in cash — below the fair price — a good deal. Located in Windber, 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	$335 - $5,093	9%
Blue Cross Blue Shieldmajor	$74 - $6,845	2%
Aetnamajor	$77 - $3,432	2%
Cignamajor	$78 - $502	2%
Humanamajor	$77 - $3,432	2%
AmeriHealth	$67 - $3,432	2%
Geisinger	$68 - $5,754	2%
UPMC Health Plan	$64 - $3,432	2%
+ 2 smaller / regional plans	$76 - $3,487

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 454), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Chan Soon- Shiong Medical Center at Windber is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Chan Soon- Shiong Medical Center at Windber

Compare: Inguinal hernia repair at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.