CMS Price Transparency Data

Inguinal hernia repair

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $4,932
Cash Discount Price: $4,385
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Loma Linda University Medical Center-Murrieta is $4,932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,385. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 1.35x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$4,385

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,932

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: $4,385 (120%)

Insurance Median: $4,932 (135%)

Cash: $4,385 (120% of Medicare)

Ins. Median: $4,932 (135% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Inland Empire Health Plan (Iehp)	$973 - $4,484	27%
Kaiser Foundation Hospitals	$1,764 - $5,157	48%
Adventist Health	$1,949	53%
Lluh Dept Of Risk Management	$2,436	67%
UnitedHealthcare	$3,227 - $3,506	88%
Alpha Care Medical Group	$4,484 - $6,726	123%
Dignity Health	$4,484 - $6,726	123%
Epic Health Plan	$4,484 - $9,616	123%
Vantage Medical Group	$4,484 - $6,726	123%
Molina Healthcare Of Ca	$5,650	154%
Cigna	$6,334	173%
Heritage Provider Network	$6,597	180%
Aetna	$6,695	183%
Multiplan	$7,144 - $7,309	195%
Blue Cross Blue Shield	$8,111	222%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,385.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 49505.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Medical Center-Murrieta is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 49505.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.