CMS Price Transparency Data

Inguinal hernia repair

Facility: Legent Orthopedic + Spine

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,664
about 1.0× the $3,658 Medicare rate · typically $2,702–$4,510
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,012
About the fair price
about $348 over the fair price · 1.1× Medicare
Medicare pays $3,658 Fair price $3,664 This hospital $4,012 Cash price $6,294 Hospital's list price $37,220

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 $4,012

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 $3,664 (about 1.0× the $3,658 Medicare rate). Legent Orthopedic + Spine charges insurers about $4,012, or about $6,294 in cash — about the fair price. Located in San Antonio, TX.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $5,343 - $6,530 146%
Aetnamajor $3,525 - $4,500 96%
Cignamajor $3,525 96%
Humanamajor $3,525 96%
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 5330 North Loop 1604 West, San Antonio, TX 78249
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals