CMS Price Transparency Data

Inguinal hernia repair

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,970
about 1.1× the $3,658 Medicare rate · typically $1,601–$4,892
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,805
About the fair price
about $165 under the fair price · 1.0× Medicare
Medicare pays $3,658 Fair price $3,970 This hospital $3,805 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 $3,805

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 $3,970 (about 1.1× the $3,658 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $3,805, or about $6,980 in cash — about the fair price. Located in East Norriton, 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 $3,564 - $3,805 97%
Blue Cross Blue Shieldmajor $3,669 100%
Aetnamajor $3,704 - $6,234 101%
Cignamajor $3,634 - $8,279 99%
Humanamajor $3,494 96%
Geisinger $1,050 - $14,238 29%
UPMC Health Plan $2,734 - $3,669 75%
WellCare $3,843 105%
+ 2 smaller / regional plans $3,704 - $14,196

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Facility Profile & Credentials

  • Address: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals