CMS Price Transparency Data

Inguinal hernia repair

Facility: Arbor Health Morton Hospital

Billing Code: 49505 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$517

about 0.1× the $3,658 Medicare rate · typically $427–$2,843

modeled estimate · not a bill or quote

What this hospital charges insurers

$505

About the fair price

about $12 under the fair price · 0.1× Medicare

Medicare pays $3,658 Fair price $517 This hospital $505 Cash price $944 Hospital's list price $1,523

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 5 of 8 other WA hospitals charge more for the same procedure.

Cheapest $413 Priciest $761

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

A fair price for a Inguinal hernia repair is about $517 (about 0.1× the $3,658 Medicare rate). Arbor Health Morton Hospital charges insurers about $505, or about $944 in cash — about the fair price. Located in Morton, WA.

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	$304 - $1,218	8%
Blue Cross Blue Shieldmajor	$505 - $1,371	14%
Aetnamajor	$505 - $716	14%
Cignamajor	$1,416	39%
Humanamajor	$505	14%
Kaiser Permanentemajor	$304 - $728	8%
Amerigroup	$304 - $505	8%
Health Net	$505	14%
Molina	$304 - $914	8%
WellCare	$530	14%
+ 7 smaller / regional plans	$304 - $721

Government programs also on file: Medicare.

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 944), 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 Arbor Health Morton 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 Arbor Health Morton Hospital

Compare: Inguinal hernia repair at other WA hospitals

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