CMS Price Transparency Data
Inguinal hernia repair
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 49505 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$245
about 0.1× the $3,658 Medicare rate · typically $188–$989
modeled estimate · not a bill or quote
Medicare pays $3,658 Fair price $245 Cash price $1,157 Hospital's list price $1,157
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $57 - $842 | 2% |
| Blue Cross Blue Shieldmajor | $54 - $839 | 1% |
| Aetnamajor | $57 - $1,022 | 2% |
| Cignamajor | $57 - $644 | 2% |
| Humanamajor | $57 - $1,527 | 2% |
| Kaiser Permanentemajor | $54 - $804 | 1% |
| Ambetter (Centene) | $65 - $613 | 2% |
| Clover Health | $57 - $358 | 2% |
| Dean Health Plan | $98 - $921 | 3% |
| GEHA | $90 - $842 | 2% |
| Health Net | $65 - $1,022 | 2% |
| HealthPartners | $65 - $613 | 2% |
| Meridian | $57 - $613 | 2% |
| Moda Health | $69 - $738 | 2% |
| Molina | $65 - $712 | 2% |
| PacificSource | $78 - $748 | 2% |
| Paramount | $65 - $921 | 2% |
| Presbyterian | $57 - $613 | 2% |
| SelectHealth | $74 - $934 | 2% |
| Tufts Health Plan | $65 - $613 | 2% |
| WellMed | $57 - $358 | 2% |
| WellSense | $65 - $613 | 2% |
| + 351 smaller / regional plans | $54 - $1,022 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Inguinal hernia repair at other OR hospitals
- Wallowa Memorial Hospital · Enterprise $418
- Adventist Health Tillamook · Tillamook $575
- Mid-Columbia Medical Center · The Dalles $772
- Lower Umpqua Hospital District · Reedsport $865
- Harney District Hospital · Burns $1,457
- Curry General Hospital · Gold Beach $1,562
- Southern Coos Hospital & Health Center · Bandon $2,590
- Kaiser Sunnyside Medical Center · Clackamas $3,045
Insurance negotiated median for the same procedure, sorted lowest first.