CMS Price Transparency Data

Inguinal hernia repair

Facility: Adventist Health Tillamook

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$763

about 0.2× the $3,658 Medicare rate · typically $430–$2,859

modeled estimate · not a bill or quote

What this hospital charges insurers

$575

Below the fair price — a good deal

about $188 under the fair price · 0.2× Medicare

Medicare pays $3,658 Fair price $763 This hospital $575 Cash price $1,640 Hospital's list price $3,038

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 7 of 8 other OR hospitals charge more for the same procedure.

Cheapest $418 Priciest $3,045

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

A fair price for a Inguinal hernia repair is about $763 (about 0.2× the $3,658 Medicare rate). Adventist Health Tillamook charges insurers about $575, or about $1,640 in cash — below the fair price — a good deal. Located in Tillamook, 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	$1,032	28%
Blue Cross Blue Shieldmajor	$560 - $3,524	15%
Aetnamajor	$487 - $774	13%
Devoted Health	$526	14%
Health Net	$1,904 - $3,807	52%
Moda Health	$497	14%
PacificSource	$924	25%
+ 7 smaller / regional plans	$506 - $3,969

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,640), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

Compare: Inguinal hernia repair at other OR hospitals

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