CMS Price Transparency Data

Inguinal hernia repair

Facility: Frances Mahon Deaconess Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $938
Cash Discount Price: $2,429
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Frances Mahon Deaconess Hospital is $938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,429. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.26x the Medicare baseline. Located in 621 3Rd St S, Glasgow, MT.

Cash / Self-Pay

$2,429

Average discount available for prompt cash payment at this facility.

Insurance Median

$938

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: $2,429 (66%)

Insurance Median: $938 (26%)

Cash: $2,429 (66% of Medicare)

Ins. Median: $938 (26% 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
Ihs-All Plans	$508	14%
UnitedHealthcare	$508 - $799	14%
Blue Cross Blue Shield	$584 - $889	16%
Humana	$584	16%
Montana Co-Op-All Plans	$877	24%
Cigna	$986	27%
First Choice Health-All Plans	$2,159	59%
Allegiance Mt	$2,294	63%
Geha-All Plans	$2,510	69%
Interwest-All Plans	$2,510	69%
Health Infonet-All Plans	$2,564	70%
Multiplan-All Plans	$2,564	70%
Pacific Source-All Plans	$2,564	70%
Three Rivers-All Plans	$2,564	70%

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 $2,429.
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 Frances Mahon Deaconess Hospital 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.