CMS Price Transparency Data

Inguinal hernia repair

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,153

about 0.3× the $3,658 Medicare rate · typically $567–$3,427

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,451

Well above the fair price

about $3,298 over the fair price · 1.2× Medicare

Medicare pays $3,658 Fair price $1,153 This hospital $4,451

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 $4,451

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 $1,153 (about 0.3× the $3,658 Medicare rate). Hospital of the Fox Chase Cancer Center charges insurers about $4,451 — well above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,153. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$2,366 - $10,139	65%
Aetnamajor	$4,635 - $8,404	127%
Cignamajor	$4,451	122%
Humanamajor	$3,678	101%
Clover Health	$3,899	107%
HealthPartners	$1,670 - $3,752	46%
Oscar Health	$5,518	151%
UPMC Health Plan	$1,080 - $4,524	30%
+ 5 smaller / regional plans	$511 - $4,904

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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, 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 Hospital of the Fox Chase Cancer Center 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 Hospital of the Fox Chase Cancer Center

Compare: Inguinal hernia repair at other PA hospitals

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