CMS Price Transparency Data

Inguinal hernia repair

Facility: Texas Orthopedic Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,740
about 1.0× the $3,658 Medicare rate · typically $2,531–$5,173
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,690
Above the fair price
about $950 over the fair price · 1.3× Medicare
Medicare pays $3,658 Fair price $3,740 This hospital $4,690

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 $4,690

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 $3,740 (about 1.0× the $3,658 Medicare rate). Texas Orthopedic Hospital charges insurers about $4,690 — above the fair price. Located in Houston, TX.

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 $3,740. 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.

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 - $8,200 34%
Blue Cross Blue Shieldmajor $5,535 - $8,488 151%
Aetnamajor $1,454 - $5,126 40%
Cignamajor $10,490 - $13,513 287%
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%
WellMed $3,615 99%
+ 3 smaller / regional plans $1,290 - $6,077
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals