CMS Price Transparency Data

Inguinal hernia repair

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,879
about 1.1× the $3,658 Medicare rate · typically $1,705–$5,128
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,958
About the fair price
about $79 over the fair price · 1.1× Medicare
Medicare pays $3,658 Fair price $3,879 This hospital $3,958 Cash price $6,980

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 $3,958

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 $3,879 (about 1.1× the $3,658 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $3,958, or about $6,980 in cash — about the fair price. Located in Philadelphia, 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 $3,670 - $4,789 100%
Blue Cross Blue Shieldmajor $3,778 103%
Aetnamajor $3,814 - $6,234 104%
Cignamajor $3,742 - $8,279 102%
Humanamajor $3,598 98%
Geisinger $1,050 - $14,662 29%
UPMC Health Plan $2,734 - $3,778 75%
WellCare $3,958 108%
+ 2 smaller / regional plans $3,814 - $16,621

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals