CMS Price Transparency Data
Inguinal hernia repair
Facility: Monterey Park Hospital
Billing Code: 49505 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 49505
- Insurance Median: $4,531
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Monterey Park Hospital is $4,531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.24x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,531
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%)
Insurance Median: $4,531 (124%)
Ins. Median: $4,531 (124% 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 |
|---|---|---|
| Access Ipa Ancillary | $344 - $545 | 9% |
| Accountable Ipa | $344 | 9% |
| Allied Physicians | $344 - $6,907 | 9% |
| Alta Med Health Services Corp | $344 - $12,500 | 9% |
| Altamed Health Network | $344 - $4,531 | 9% |
| Applecare Medical Group | $344 - $3,684 | 9% |
| Assess Ipa | $344 | 9% |
| Associated Hispanic Physicians Ancillary | $344 - $424 | 9% |
| Beverly Hospital | $344 - $5,065 | 9% |
| Blue Cross Blue Shield | $344 - $8,717 | 9% |
| Brand New Day | $344 - $5,756 | 9% |
| Care 1St Mcl/Gar Cap | $344 | 9% |
| Community Health Plan | $344 | 9% |
| Esperanza Medical Group Ipa | $344 | 9% |
| Family Health Alliance Medical Group | $344 - $1,400 | 9% |
| Health Net Medi Cal | $344 | 9% |
| Healthnet Inc | $344 | 9% |
| Healthy Way La | $344 | 9% |
| La Care | $344 - $4,605 | 9% |
| La Care Health Plan | $344 - $396 | 9% |
| Medical Managed Care Program | $344 | 9% |
| Molina Healthcare | $344 | 9% |
| Other Non-Contracted Medi-Cal | $344 | 9% |
| Preferred Ipa | $344 - $5,756 | 9% |
| Preferred Ipa Of California | $344 | 9% |
| Alhambra Community Dialysis Unit Inc | $444 | 12% |
| Aids Health Foundation | $493 - $4,531 | 13% |
| Bella Vista Medical Group Ancillary | $493 | 13% |
| Central Health Plan | $493 | 13% |
| Emanate Health | $493 - $5,756 | 13% |
| Maxi Med Inc/Ipa | $493 - $4,605 | 13% |
| Medi Cal | $493 | 13% |
| Pacific Independent Physician Association | $493 - $1,400 | 13% |
| Aetna | $656 - $4,531 | 18% |
| Central Health Plan Of California | $684 | 19% |
| One Health Plan | $697 | 19% |
| Caloptima Direct | $725 | 20% |
| Health Net | $1,070 - $4,531 | 29% |
| Allied Physicians Ipa | $1,100 | 30% |
| Tenet Reciprocity | $1,200 | 33% |
| Universal Care | $1,250 | 34% |
| Blue Shield Of California | $1,638 - $5,635 | 45% |
| Choice Care Network | $2,090 | 57% |
| Healthnet | $2,155 | 59% |
| Molina Medical Centers | $2,233 | 61% |
| Asi Flex Ppo W/C | $2,500 | 68% |
| Veterans Administration | $3,223 | 88% |
| Bella Vista Medical Group | $3,684 | 101% |
| Senior Citizens Choice | $4,080 | 112% |
| Avanti | $4,144 - $5,526 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $4,144 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $4,144 | 113% |
| Ahmc Healthcare Inc | $4,531 - $4,605 | 124% |
| Apa/Aco Inc | $4,531 | 124% |
| Cms | $4,531 | 124% |
| Easy Choice Health Plan | $4,531 | 124% |
| First Health Senior | $4,531 | 124% |
| Foundation Health Plan | $4,531 | 124% |
| Health Net Inc | $4,531 - $16,131 | 124% |
| Humana | $4,531 | 124% |
| Medicare (plans) | $4,531 - $4,758 | 124% |
| Scan Health Plan | $4,531 | 124% |
| Secure Horizons | $4,531 | 124% |
| Ucla/Impact Cancer | $4,531 | 124% |
| UnitedHealthcare | $4,531 | 124% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4,605 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $4,605 | 126% |
| La Care Covered Direct | $4,605 | 126% |
| Self-Pay | $4,605 | 126% |
| Molina Healthcare Medi-Connect | $4,758 | 130% |
| Care 1St M Cal | $5,000 | 137% |
| Garfield Medical Center | $5,000 | 137% |
| San Miguel Health Plan | $5,065 | 138% |
| Preferred Health Network | $5,623 | 154% |
| Interplan | $5,741 | 157% |
| Ahmc Health Epo | $5,756 | 157% |
| Knox-Keene Act | $5,756 | 157% |
| Molina Healthcare Of California | $5,756 | 157% |
| Athens Administrators | $5,919 | 162% |
| Indemnity W Comp Fee Schedule | $5,919 | 162% |
| Multiplan | $5,919 | 162% |
| Alignment Health Plan | $6,117 | 167% |
| Health Net Of California | $13,714 | 375% |
| Pacificare | $22,113 - $27,757 | 605% |
| Corvel Corporation | $40,000 | 1094% |