CMS Price Transparency Data

Inguinal hernia repair

Facility: Curry General Hospital

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 49505
Insurance Median: $1,686
Cash Discount Price: $1,775
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a Inguinal hernia repair at Curry General Hospital is $1,686. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,775. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.46x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$1,775

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,686

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: $1,775 (49%)

Insurance Median: $1,686 (46%)

Cash: $1,775 (49% of Medicare)

Ins. Median: $1,686 (46% 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
Tricare	$553	15%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$554	15%
Medicare (plans)	$554	15%
Blue Cross Blue Shield	$905 - $1,775	25%
Medicaid / KanCare	$1,118 - $1,348	31%
Department Of Corrections [1051]	$1,154	32%
Coordinated Care Commercial [1649]	$1,509	41%
Pacificsource [1148]	$1,509	41%
Moda [512]	$1,523 - $1,598	42%
First Choice Health Admin [1294]	$1,562	43%
First Choice [528]	$1,562	43%
Multiplan [1131]	$1,615	44%
Asuris [1258]	$1,686	46%
Operating Engineers [1144]	$1,686	46%
Regence [1351]	$1,686 - $1,775	46%
Cigna	$1,740 - $1,775	48%
Coventry First Health Managed Care [1774]	$1,740	48%
Coventry Health [1046]	$1,740	48%
Providence Health Plan Plm Alt [1692]	$1,740	48%
Providence Health Plan [567]	$1,740	48%
Aetna	$1,775	49%
Employee Bene Admin Mgmt [525]	$1,775	49%
Geha [531]	$1,775	49%
Mailhandlers Benefit Pln [547]	$1,775	49%
Meritain [550]	$1,775	49%
Nw Sheet Metal Workers [597]	$1,775	49%
Trustmark [524]	$1,775	49%
UnitedHealthcare	$1,775	49%
Zenith Administrators [586]	$1,775	49%
Allcare Alt [2598]	$2,000	55%
Allcare [1695]	$2,000	55%

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 $1,775.
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 Curry General 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.