Inguinal hernia repair, patient over 5 years old at Children's National Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

3M $ HERNIA ING REP 5YR OR > REDUCIBL

Washington, DC

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Pricing by billing methodology

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How this price compares nationally

Children's National Hospital’s median price of $578 is 85% below the median hospital's median price ($3.9k), higher than 10% of the 2,168 hospitals reporting CPT 49505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 49505 at Children's National Hospital

Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	UnitedHealthcare managed medicaid professional · fee schedule · both	$454	$454	$13	3%	—	$441 – $467
2	Anthem medicaid professional · fee schedule · both	$462	$462	—	—	—	$462 – $462
3	Aetna Better Health managed medicaid professional · fee schedule · both	$471	$471	$50	11%	—	$420 – $521
4	Carefirst hmo professional · fee schedule · both	$498	$498	—	—	—	$498 – $498
5	Kaiser managed medicaid professional · fee schedule · both	$499	$499	—	—	—	$499 – $499
6	Carefirst managed medicaid professional · fee schedule · both	$505	$505	—	—	—	$505 – $505
7	Carefirst rpn professional · fee schedule · both	$553	$553	—	—	—	$553 – $553
8	Molina managed medicaid (ccc plus) professional · fee schedule · both	$567	$567	—	—	—	$567 – $567
9	Molina managed medicaid (medallion) professional · fee schedule · both	$567	$567	—	—	—	$567 – $567
10	Anthem hmo facility · fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
11	Anthem hmx facility · fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
12	Anthem ppo/par facility · fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
13	Aetna commercial professional · fee schedule · both	$624	$624	—	—	—	$624 – $624
14	Anthem hmx professional · fee schedule · both	$788	$788	—	—	—	$788 – $788
15	Anthem hmo professional · fee schedule · both	$858	$858	—	—	—	$858 – $858
16	Cigna oap professional · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
17	Cigna ppo professional · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
18	Anthem ppo/par professional · fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Kaiser commercial professional · percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	UnitedHealthcare all payer facility · fee schedule · outpatient	$6.5k	$6.5k	—	—	—	$6.5k – $6.5k
21	Aetna commercial facility · fee schedule · outpatient	$6.9k	$6.9k	—	—	—	$6.9k – $6.9k
22	UnitedHealthcare options ppo facility · fee schedule · outpatient	$7.1k	$7.1k	—	—	—	$7.1k – $7.1k
23	Carefirst hmo facility · fee schedule · outpatient	$7.5k	$7.5k	—	—	—	$7.5k – $7.5k
24	Carefirst rpn facility · fee schedule · outpatient	$7.5k	$7.5k	—	—	—	$7.5k – $7.5k
25	Cigna oap facility · fee schedule · outpatient	$7.7k	$7.7k	—	—	—	$7.7k – $7.7k

Last updated: Apr 2, 2026

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