CMS Price Transparency Data

Inguinal hernia repair

Facility: Roxborough Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,985
about 1.1× the $3,658 Medicare rate · typically $1,576–$5,130
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,843
About the fair price
about $142 under the fair price · 1.1× Medicare
Medicare pays $3,658 Fair price $3,985 This hospital $3,843 Cash price $3,660 Hospital's list price $6,791

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 $3,843

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 $3,985 (about 1.1× the $3,658 Medicare rate). Roxborough Memorial Hospital charges insurers about $3,843, or about $3,660 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $2,040 - $6,791 56%
Blue Cross Blue Shieldmajor $3,453 - $6,791 94%
Cignamajor $6,791 186%
Humanamajor $2,928 80%
HealthPartners $1,582 - $5,491 43%
+ 7 smaller / regional plans $3,634 - $5,124
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals