CMS Price Transparency Data

Inguinal hernia repair

Facility: East Los Angeles Doctors Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$5,062

about 1.4× the $3,658 Medicare rate · typically $4,586–$6,321

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,755

About the fair price

about $307 under the fair price · 1.3× Medicare

Medicare pays $3,658 Fair price $5,062 This hospital $4,755

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $434 Priciest $4,755

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Inguinal hernia repair is about $5,062 (about 1.4× the $3,658 Medicare rate). East Los Angeles Doctors Hospital charges insurers about $4,755 — about the fair price. Located in Los Angeles, CA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$5,319 - $5,403	145%
Blue Cross Blue Shieldmajor	$351 - $6,484	10%
Cignamajor	$1,734	47%
Humanamajor	$4,323	118%
Ambetter (Centene)	$6,259 - $7,673	171%
Bright Health	$4,755	130%
Health Net	$4,323 - $7,828	118%
Oscar Health	$4,755	130%
+ 7 smaller / regional plans	$4,193 - $8,645

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 East Los Angeles Doctors 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 East Los Angeles Doctors Hospital

Compare: Inguinal hernia repair at other CA hospitals

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