CMS Price Transparency Data

Inguinal hernia repair

Facility: Mid-Columbia Medical Center

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $632
Cash Discount Price: $805
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Mid-Columbia Medical Center is $632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $805. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$805

Average discount available for prompt cash payment at this facility.

Insurance Median

$632

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: $805 (22%)

Insurance Median: $632 (17%)

Cash: $805 (22% of Medicare)

Ins. Median: $632 (17% 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
Blue Cross Blue Shield	$487 - $1,036	13%
Community Hp Mcr Adv - All Plans	$487	13%
Molina Mcr Adv	$487	13%
Tricare	$487	13%
Va Ccn Triwest - All Plans	$487	13%
Healthnet Mcr Adv	$497	14%
Humana	$502	14%
Moda Mcr Adv	$502	14%
Devoted Mcr Adv - All Plans	$526	14%
Employee Health Plan - All Plans	$536	15%
Molina - All Other Plans	$536	15%
Healthnet - All Other Plans	$728	20%
Cigna	$816	22%
Multiplan/Phcs - All Plans	$828	23%
Molina Mcaid	$872	24%
Aetna	$925	25%
Coventry - All Plans	$941	26%
First Choice - All Plans	$956	26%
Providence Ppo - All Plans	$1,001	27%
Moda Health Plan - All Other Plans	$1,049	29%
Amerigroup Mcaid - All Plans	$1,677	46%
Coordinated Care Mcaid - All Plans	$1,677	46%

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 $805.
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 Mid-Columbia Medical Center 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.