CMS Price Transparency Data

Inguinal hernia repair

Facility: Milton S Hershey Medical Center

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,620

about 1.0× the $3,658 Medicare rate · typically $2,996–$4,054

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,835

About the fair price

about $215 over the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $3,620 This hospital $3,835 Cash price $7,600 Hospital's list price $22,939

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 $3,835

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 $3,620 (about 1.0× the $3,658 Medicare rate). Milton S Hershey Medical Center charges insurers about $3,835, or about $7,600 in cash — about the fair price. Located in Hershey, 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	$3,873 - $16,539	106%
Blue Cross Blue Shieldmajor	$3,228 - $20,421	88%
Aetnamajor	$3,835 - $15,537	105%
Cignamajor	$14,665	401%
Humanamajor	$3,835	105%
AmeriHealth	$3,228 - $3,797	88%
Cigna HealthSpring	$3,835	105%
Geisinger	$3,418 - $17,094	93%
HealthPartners	$3,532 - $3,873	97%
UPMC Health Plan	$3,873 - $16,947	106%
+ 2 smaller / regional plans	$3,550 - $4,747

Excludes 3 rental-network / third-party entries (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 (about 7,600), 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 Milton S Hershey Medical 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 Milton S Hershey Medical Center

Compare: Inguinal hernia repair at other PA hospitals

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