CMS Price Transparency Data

Inguinal hernia repair

Facility: HCA Houston Healthcare Clear Lake

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,118

about 1.1× the $3,658 Medicare rate · typically $3,712–$4,981

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,870

About the fair price

about $248 under the fair price · 1.1× Medicare

Medicare pays $3,658 Fair price $4,118 This hospital $3,870

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $498 Priciest $3,870

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $4,118 (about 1.1× the $3,658 Medicare rate). HCA Houston Healthcare Clear Lake charges insurers about $3,870 — about the fair price. Located in Webster, TX.

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	$1,236 - $6,800	34%
Blue Cross Blue Shieldmajor	$4,975 - $6,436	136%
Aetnamajor	$1,454 - $4,197	40%
Cignamajor	$6,392 - $8,234	175%
Humanamajor	$1,439 - $4,690	39%
Amerigroup	$1,209	33%
Fidelis Care	$4,505	123%
Health Net	$1,129	31%
Healthcare Highways	$4,988	136%
Molina	$1,267	35%
Oscar Health	$7,014	192%
+ 5 smaller / regional plans	$1,152 - $6,077

Government programs also on file: Medicaid.

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 HCA Houston Healthcare Clear Lake 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 HCA Houston Healthcare Clear Lake

Compare: Inguinal hernia repair at other TX hospitals

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