Inguinal hernia repair
Facility: San Dimas Community Hospital
Billing Code: 49505 (CPT)
- CPT Billing Code: 49505
- Insurance Median: $4,582
- Cash Discount Price: $4,582
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aids Healthcare Foundation | $493 - $4,674 | 13% |
| Blue Shield Of Promise | $493 | 13% |
| Heritage Provider Network Inc | $493 - $5,957 | 13% |
| La Care Health Plan | $493 - $4,582 | 13% |
| Molina Healthcare | $493 - $4,582 | 13% |
| Traditional Medi-Cal | $493 | 13% |
| Blue Cross Blue Shield | $518 - $5,131 | 14% |
| Health Net Of Ca | $528 - $6,690 | 14% |
| Blue Shield Of Ca | $3,838 - $4,582 | 105% |
| Rios | $4,353 | 119% |
| Central Health Plan | $4,582 | 125% |
| Choice Physicians Network | $4,582 | 125% |
| Citrus Valley Physicians Group | $4,582 | 125% |
| Elite Health Plan | $4,582 | 125% |
| Health Excel Inc | $4,582 | 125% |
| Medicare (plans) | $4,582 | 125% |
| Patient Choice Health Plan | $4,582 | 125% |
| Primecare Medical Network | $4,582 - $5,957 | 125% |
| Renal Payer Solutions | $4,582 | 125% |
| Tricare | $4,582 | 125% |
| UnitedHealthcare | $4,582 - $5,957 | 125% |
| Brand New Day | $4,628 - $6,874 | 127% |
| Imperial Health Plan Inc | $4,857 | 133% |
| Aetna | $5,856 | 160% |
| Ca Foundation For Medical Care | $6,037 | 165% |
| Worker Comp | $6,037 | 165% |
| Employer Direct Healthcare | $6,415 | 175% |