CMS Price Transparency Data
Inguinal hernia repair
Facility: Adventist Health White Memorial
Billing Code: 49505 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 49505
- Insurance Median: $529
- Cash Discount Price: $294
- vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Adventist Health White Memorial is $529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.14x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$294
Average discount available for prompt cash payment at this facility.
Insurance Median
$529
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$3,657.95
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $3,657.95 (100%)
Cash / Self-Pay: $294 (8%)
Insurance Median: $529 (14%)
Cash: $294 (8% of Medicare)
Ins. Median: $529 (14% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $3,657.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Prospect Mg Com/Pos Profee Only-All Other Plan | $300 | 8% |
| Prospect Mg Mcal Profee Only | $300 | 8% |
| Prospect Mg Mcr Adv Profee Only | $300 | 8% |
| Access Medi-Cal | $344 | 9% |
| Altamed Medi-Cal - All Other Plans | $344 | 9% |
| Bc Medi-Cal | $344 | 9% |
| Blue Shield Medi-Cal | $344 | 9% |
| Care First Medi-Cal | $344 | 9% |
| Healthcare Inc Medi-Cal | $344 | 9% |
| Lasalle Mg Medi-Cal | $344 | 9% |
| Medi-Cal | $344 | 9% |
| Pacific Alliance Medi-Cal | $344 | 9% |
| Pacific Ipa Medi-Cal | $344 | 9% |
| Preferred Medi-Cal | $344 | 9% |
| Healthnet Mcal | $410 | 11% |
| Fcs Ipa Medi-Cal Op/Profee Only | $413 | 11% |
| Access Group | $449 | 12% |
| Lasalle Mg Commercial - All Other Plans | $449 | 12% |
| Ahp Medi-Cal | $482 | 13% |
| Assoc Hispanic Physcns Mcal | $482 | 13% |
| Bella Vista Medi-Cal Op/Profee Only | $482 | 13% |
| El Proyecto Mcal Profee Only | $482 | 13% |
| Global Care Mcal Profee Only | $482 | 13% |
| Hcla Mcal Profee Only | $482 | 13% |
| Aetna | $512 | 14% |
| Access Senior - All Other Plans | $529 | 14% |
| Ahp - All Other Plans | $529 | 14% |
| Ahp Senior | $529 | 14% |
| Altamed Connect | $529 | 14% |
| Avanti Mcr Adv - All Other Plans | $529 | 14% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $529 | 14% |
| Blue Cross Blue Shield | $529 - $991 | 14% |
| Brand New Day Mcare - All Plans | $529 | 14% |
| Bs Va Mcare | $529 | 14% |
| Care First Mcare - All Other Plans | $529 | 14% |
| Caremore Mcare - All Plans | $529 | 14% |
| Clever Care - All Plans | $529 | 14% |
| El Proyecto Comm Profee Only - All Other Plans | $529 | 14% |
| El Proyecto Mcr Profee Only | $529 | 14% |
| Fcs Ipa Mcr Advan Op/Profee Only | $529 | 14% |
| Global Care Comm Profee Only - All Other Plans | $529 | 14% |
| Global Care Mcr Profee Only | $529 | 14% |
| Hcla Comm Profee Only - All Other Plans | $529 | 14% |
| Hcla Mcr Profee Only | $529 | 14% |
| Humana | $529 | 14% |
| La Care Mcr Adv - All Plans | $529 | 14% |
| Lasalle Mg Senior | $529 | 14% |
| Medicare (plans) | $529 | 14% |
| Pacific Alliance Mcare - All Other Plans | $529 | 14% |
| Preferred Senior | $529 | 14% |
| Scan Health Mcare - All Plans | $529 | 14% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $529 | 14% |
| Tricare | $529 | 14% |
| UnitedHealthcare | $529 - $691 | 14% |
| Blue Shield Mcr Adv | $531 | 15% |
| Molina Medi-Cal | $550 | 15% |
| Fcs Ipa Op/Profee Only - All Other Plans | $555 | 15% |
| Ah Employee Health Plan - All Plans | $582 | 16% |
| Molina Benefit Exchange - All Other Plans | $608 | 17% |
| Molina Mcare | $608 | 17% |
| Cigna | $612 | 17% |
| Preferred Commercial - All Other Plans | $634 | 17% |
| Intergrated Medical - All Plans | $687 | 19% |
| Western Growers/Pinnacle - All Plans | $735 | 20% |
| Blue Shield Epn | $759 | 21% |
| Healthnet - All Other Plans | $770 | 21% |
| Healthnet Comm Care | $770 | 21% |
| Centivo - All Plans | $793 | 22% |
| Blue Shield - All Other Plans | $802 | 22% |
| Healthnet Mcr Adv | $809 | 22% |
| Multiplan Ppo - All Plans | $1,355 | 37% |