CMS Price Transparency Data

Inguinal hernia repair

Facility: Wallowa Memorial Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$973

about 0.3× the $3,658 Medicare rate · typically $398–$3,247

modeled estimate · not a bill or quote

What this hospital charges insurers

$418

Below the fair price — a good deal

about $555 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $973 This hospital $418 Cash price $1,406 Hospital's list price $1,406

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $418 Priciest $3,045

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Inguinal hernia repair is about $973 (about 0.3× the $3,658 Medicare rate). Wallowa Memorial Hospital charges insurers about $418, or about $1,406 in cash — below the fair price — a good deal. Located in Enterprise, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$775	21%
Blue Cross Blue Shieldmajor	$61	2%
Aetnamajor	$781	21%
+ 1 smaller / regional plan	$1,016

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,406), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 49505.

Insurance Before you use insurance

Call your insurance company to confirm Wallowa Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 49505.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wallowa Memorial Hospital

Compare: Inguinal hernia repair at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.