CMS Price Transparency Data

Inguinal hernia repair

Facility: Cornerstone Regional Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,642

about 1.0× the $3,658 Medicare rate · typically $2,163–$4,909

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,542

About the fair price

about $100 under the fair price · 1.0× Medicare

Medicare pays $3,658 Fair price $3,642 This hospital $3,542

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 $3,542

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 $3,642 (about 1.0× the $3,658 Medicare rate). Cornerstone Regional Hospital charges insurers about $3,542 — about the fair price. Located in Edinburg, 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	$2,573 - $12,095	70%
Blue Cross Blue Shieldmajor	$3,376 - $3,542	92%
Aetnamajor	$3,542 - $10,294	97%
Cignamajor	$17,504	479%
Humanamajor	$3,542 - $9,241	97%
Ambetter (Centene)	$3,542	97%
Molina	$2,573 - $3,542	70%
WellMed	$3,542	97%
+ 5 smaller / regional plans	$2,573 - $3,542

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 Cornerstone Regional Hospital 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 Cornerstone Regional Hospital

Compare: Inguinal hernia repair at other TX hospitals

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