Ambulatory surgical center (ASC)
A standalone outpatient surgery facility.
What to check: Anesthesia and surgeon fees may be billed separately.
What each route pays, from the published files
Hernia Repair Cost in the USA: Hospital Cash Price, Insurance and Medicare
What US hospitals publish as their cash price for an inguinal hernia repair, open and laparoscopic separately, the spread of rates they negotiated with insurers, and what Medicare pays a surgical center and a surgeon, per billing code and with the file each figure was read from.
What is priced: Open and laparoscopic inguinal repair are different operations under different codes, and each is priced on its own. Umbilical and ventral hernia repair are not covered on this page.
Peter Langdon · TreatCompare editor — healthcare price research
Important information for US visitors
This page is general consumer information about published US hospital charges and Medicare fee schedules. It is not insurance advice, billing advice, legal advice, tax advice, or medical advice. The calculator does arithmetic on numbers you enter; an actual bill depends on your plan, network status, prior authorization, separate professional and facility fees, and the code billed. Check any quoted price and your share with your provider and your insurer before booking care.
Could paying cash for a hernia repair cost less than using insurance?
It can. Compare the provider’s written cash quote with your own share under your plan (deductible left, coinsurance, copay, out-of-pocket limit), not with the hospital’s gross charge. For code 49650, the median hospital cash price in the files read is $11,447 across 22 hospitals.
How each route pays for an Inguinal hernia repair
One billing code, 49650 (Laparoscopic inguinal hernia repair, initial), so every figure prices the same service. Other codes are in the tables below. Waiting times are not published by any official US source.
| Route | What it covers | Wait | Price | Source |
|---|---|---|---|---|
| Original Medicare (Part B)Code 49650: Laparoscopic inguinal hernia repair, initial | After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount.Where the provider accepts the Medicare-approved amount as full payment. The deductible is in the Medicare table below. | Not publishedNo official US source publishes waiting times for this procedure. | $3,030.97What Medicare pays. National rate paid to an ambulatory surgical center for the facility. The physician is paid separately (see the Medicare table). |
|
| MedicaidSet by each state | Not trackedEach state sets what its Medicaid program covers and pays. State Medicaid fee schedules have not been read. | Not publishedNo official US source publishes waiting times for this procedure. | Not tracked | None for this row |
| Employer or Marketplace health planCode 49650: Laparoscopic inguinal hernia repair, initial. Hospital negotiated rates, no payer named | A Marketplace plan caps in-network out-of-pocket costs at $10,600 for an individual (plan year 2026).Premiums, services the plan does not cover and out-of-network care do not count toward it. | Not publishedNo official US source publishes waiting times for this procedure. | $6,692Median of 77 hospitals' middle negotiated rates, facility charge only, across 1,264 payer contracts; no payer is named. |
|
| Self-pay at a hospitalCode 49650: Laparoscopic inguinal hernia repair, initial. Discounted cash price | Uninsured and self-pay patients are entitled to a Good Faith Estimate of expected charges when they schedule or ask. | Not publishedNo official US source publishes waiting times for this procedure. | $11,447Median of 22 hospitals' discounted cash prices, facility charge only. |
|
| Self-pay at a surgical center or clinicPrices on the provider’s own site | Not tracked | Not publishedNo official US source publishes waiting times for this procedure. | Not trackedNo surgical center’s or clinic’s own price page has been read. | None for this row |
Hospital figures are facility charges from each hospital’s own file; the physician’s bill is separate. Medicare amounts are national, before geographic adjustment. Open and laparoscopic inguinal repair are different operations under different codes, and each is priced on its own. Umbilical and ventral hernia repair are not covered on this page.
Open or laparoscopic
Different codes
An open repair and a laparoscopic repair are billed under different codes and priced separately.
Which hernia
Inguinal only
Umbilical and ventral repairs are other operations and are not shown here.
Separate bills
Surgeon and facility
The surgeon, the facility and anesthesia can each bill separately.
What hospitals publish for an Inguinal hernia repair, by billing code
Read from each hospital’s standard-charge file, which federal rules (45 CFR 180.50) require it to publish. One figure per hospital and code, the hospital’s facility charge. A median is given only where at least 4 hospitals publish; below that each hospital is named with its own figure. Cash prices and negotiated rates are never combined, and no insurer is named.
83 of 238 hospitals in our source registry for the US publish a figure for these codes in the files read.
Across all procedures: 183 of 238 hospitals, 51 of 51 states.
| Code | Hospital cash price | Hospital negotiated rates | What Medicare pays (national) |
|---|---|---|---|
| 49505Open inguinal hernia repair, initial | Median $7,32232 hospitals; lowest $865, highest $40,971 | Median $4,17975 hospitals; lowest $1,090, highest $28,573 | $1,744.22Surgical center facility rate |
| 49650Laparoscopic inguinal hernia repair, initial | Median $11,44722 hospitals; lowest $3,813, highest $52,841 | Median $6,69277 hospitals; lowest $1,945, highest $34,690 | $3,030.97Surgical center facility rate |
The negotiated figure for each hospital is the middle of the rates it lists across its payers. It is what an insurer pays the hospital, not what a patient on that plan pays. The lowest and highest figures are single hospitals’ and are shown so they can be checked against the file.
Code 49505: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | $22,786 | $3,9636 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Advocate Christ Medical CenterOak Lawn, IL | Not counted | $7,3678 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-03 |
| Aurora St. Luke's Medical CenterMilwaukee, WI | Not counted | $10,41815 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-05 |
| Banner - University Medical Center PhoenixPhoenix, AZ | Not counted | $3,82123 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Health Princeton HospitalBirmingham, AL | Not counted | $3,3085 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | Not counted | $5,33276 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | Not counted | $4,0734 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | Not counted | $3,5688 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Beebe Medical CenterLewes, DE | $3,080 | Not counted | apim.services.craneware.comread 2026-11-06; file dated 2026-03-05 |
| Cheyenne Regional Medical CenterCheyenne, WY | Not counted | $3,8411 payersalso UnityPoint Health Iowa Lutheran Hospital (same file host, counted once) | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Christiana HospitalNewark, DE | Not counted | $4,1796 payers | documents.christianacare.orgread 2026-11-06; file dated 2026-04-01 |
| Cleveland Clinic FloridaWeston, FL | Not counted | $3,54212 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | Not counted | $3,7464 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | $4,572 | $3,7296 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Denver Health Medical CenterDenver, CO | Not counted | $4,8837 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Elliot HospitalManchester, NH | Not counted | $4,2245 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | Not counted | $3,8373 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Eskenazi HealthIndianapolis, IN | $40,971 | $3,7881 payers | eskenazihealth.eduread 2026-11-06; file dated 2026-03-01 |
| Essentia Health-FargoFargo, ND | $3,578 | $3,52943 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Grady Memorial HospitalAtlanta, GA | Not counted | $3,92315 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| Hackensack University Medical CenterHackensack, NJ | $4,156 | $4,1568 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | Not counted | $3,8598 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Hospital of the University of PennsylvaniaPhiladelphia, PA | $14,271 | $5,42381 payers | tupa-q-001.sitecorecontenthub.cloudread 2026-11-06; file dated 2026-10-20 |
| Houston Methodist HospitalHouston, TX | $8,492 | $4,29212 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | Not counted | $6,7117 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $3,906 | $3,9068 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Legacy Emanuel Medical CenterPortland, OR | Not counted | $8,76411 payers | legacyhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | Not counted | $5,3954 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $23,960 | $14,8681 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| Mercy Hospital Fort SmithFort Smith, AR | $6,740 | $3,40280 payers | mercy.netread 2026-11-06; file dated 2026-06-08 |
| Mercy Hospital Oklahoma CityOklahoma City, OK | $7,905 | $3,31155 payers | mercy.netread 2026-11-06; file dated 2026-06-12 |
| Mercy Hospital SpringfieldSpringfield, MO | $12,167 | $3,51879 payersalso Mercy Hospital St. Louis (same file host, counted once) | mercy.netread 2026-11-06; file dated 2026-06-04 |
| Mercy Hospital St. LouisSt. Louis, MO | $6,764 | Not counted | mercy.netread 2026-11-06; file dated 2026-06-04 |
| MercyOne Des Moines Medical CenterDes Moines, IA | $19,065 | $3,65882 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| MetroHealth Medical CenterCleveland, OH | $865 | $4,40414 payers | metrohealth.orgread 2026-11-06; file dated 2026-04-01 |
| Mississippi Baptist Medical CenterJackson, MS | Not counted | $5,76762 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| MUSC Health University Medical CenterCharleston, SC | $5,643 | $2,8725 payers | d3crna64wemw02.cloudfront.netread 2026-11-06; file dated 2026-04-01 |
| Nashville General HospitalNashville, TN | $6,267 | $3,60710 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | Not counted | $4,87868 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Newport HospitalNewport, RI | Not counted | $6,7576 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $5,799 | $3,67710 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | Not counted | $5,6048 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Eastern Maine Medical CenterBangor, ME | Not counted | $3,4847 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-02-03 |
| Northern Light Mercy HospitalPortland, ME | Not counted | $3,5157 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-04-15 |
| OU Health University of Oklahoma Medical CenterOklahoma City, OK | $3,818 | $3,4277 payers | apim.services.craneware.comread 2026-11-06; file dated 2026-03-25 |
| Porter Medical CenterMiddlebury, VT | Not counted | $7,6362 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| Providence Alaska Medical CenterAnchorage, AK | Not counted | $14,7232 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Portland Medical CenterPortland, OR | $10,554also Providence St. Vincent Medical Center (same file host, counted once) | $8,8309 payersalso Providence St. Vincent Medical Center (same file host, counted once) | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | $1,918 | $7,33911 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | $8,385 | $7,18211 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Rhode Island HospitalProvidence, RI | Not counted | $5,3916 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,741 | $6,11310 payers | mrfs.hyvehealthcare.comread 2026-11-06; file dated 2026-03-04 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $10,648 | $3,86421 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $16,272 | $14,91889 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | Not counted | $6,3524 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | Not counted | $3,6358 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| Sentara Norfolk General HospitalNorfolk, VA | Not counted | $6,4485 payers | sentara.comread 2026-11-06; file dated 2026-04-01 |
| South County HospitalWakefield, RI | $8,994 | $1,3715 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| Southwestern Vermont Medical CenterBennington, VT | Not counted | $4,13810 payers | svmc.orgread 2026-11-06; file dated 2026-10-15 |
| St. Patrick HospitalMissoula, MT | $4,888 | $3,7685 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | Not counted | $28,5735 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Swedish Medical Center First HillSeattle, WA | Not counted | $9,21516 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Tampa General HospitalTampa, FL | $12,195 | $3,96320 payers | tgh.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $6,7177 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| The Mount Sinai HospitalNew York, NY | Not counted | $7,4467 payers | mountsinai.orgread 2026-11-06; file dated 2026-04-01 |
| The Queen's Medical CenterHonolulu, HI | $8,816 | $4,69912 payers | queens.orgread 2026-11-06; file dated 2026-03-11 |
| Thomas Jefferson University HospitalPhiladelphia, PA | Not counted | $1,09010 payers | use2webtechstgpricelist.blob.core.windows.netread 2026-11-06; file dated 2026-09-15 |
| Trinity HospitalsMinot, ND | Not counted | $3,6581 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UConn Health, Waterbury HospitalWaterbury, CT | Not counted | $6,0021 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-05-13 |
| UCSF Medical CenterSan Francisco, CA | Not counted | $10,4755 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| University of Chicago Medical CenterChicago, IL | Not counted | $4,4124 payers | edge.sitecorecloud.ioread 2026-11-06; file dated 2026-04-01 |
| UofL Health Jewish HospitalLouisville, KY | Not counted | $3,47414 payers | uoflhealth.orgread 2026-11-06; file dated 2026-01-01 |
| UT Southwestern University HospitalsDallas, TX | Not counted | $3,70610 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $5,96713 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
| Virginia Mason Medical CenterSeattle, WA | $7,880 | $9,89612 payers | vmfh.orgread 2026-11-06; file dated 2026-01-01 |
| Wellstar Kennestone Regional Medical CenterMarietta, GA | Not counted | $6,3898 payers | wellstar.orgread 2026-11-06; file dated 2026-04-01 |
| West Virginia University HospitalsMorgantown, WV | $4,196 | $3,55035 payers | wvumedicine.orgread 2026-11-06; file dated 2026-07-10 |
Not counted, because the file lists several different charge lines for this code: Duke University Hospital (NC, 2 lines); Emory University Hospital (GA, 2 lines); Nebraska Methodist Hospital (NE, 2 lines).
Code 49650: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | Not counted | $6,6926 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Advocate Christ Medical CenterOak Lawn, IL | Not counted | $12,4398 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-03 |
| Aurora St. Luke's Medical CenterMilwaukee, WI | Not counted | $14,49115 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-11-05 |
| Banner - University Medical Center PhoenixPhoenix, AZ | Not counted | $6,45123 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Health Princeton HospitalBirmingham, AL | Not counted | $5,4755 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | Not counted | $8,81576 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | Not counted | $6,8774 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | Not counted | $6,0248 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Beebe Medical CenterLewes, DE | $5,669 | Not counted | apim.services.craneware.comread 2026-11-06; file dated 2026-03-05 |
| Cheyenne Regional Medical CenterCheyenne, WY | Not counted | $6,4851 payersalso UnityPoint Health Iowa Lutheran Hospital (same file host, counted once) | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Christiana HospitalNewark, DE | Not counted | $7,0566 payers | documents.christianacare.orgread 2026-11-06; file dated 2026-04-01 |
| Cleveland Clinic FloridaWeston, FL | Not counted | $5,85612 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | Not counted | $7,3214 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | Not counted | $6,2976 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Denver Health Medical CenterDenver, CO | Not counted | $6,3777 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Elliot HospitalManchester, NH | Not counted | $7,1325 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Emory University HospitalAtlanta, GA | $11,234 | $6,42811 payers | emoryhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | Not counted | $6,1803 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Eskenazi HealthIndianapolis, IN | $52,841 | $2,2732 payers | eskenazihealth.eduread 2026-11-06; file dated 2026-03-01 |
| Essentia Health-FargoFargo, ND | Not counted | $5,83426 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Grady Memorial HospitalAtlanta, GA | Not counted | $5,81415 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| Hackensack University Medical CenterHackensack, NJ | $6,871 | $6,8718 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | Not counted | $4,6748 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Houston Methodist HospitalHouston, TX | Not counted | $6,68010 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | Not counted | $7,1757 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $6,458 | $6,4588 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Legacy Emanuel Medical CenterPortland, OR | Not counted | $12,66411 payers | legacyhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | Not counted | $9,1104 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $39,681 | $21,7851 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| Mercy Hospital Fort SmithFort Smith, AR | $14,323 | $5,74481 payers | mercy.netread 2026-11-06; file dated 2026-06-08 |
| Mercy Hospital Oklahoma CityOklahoma City, OK | $9,606 | $5,59055 payers | mercy.netread 2026-11-06; file dated 2026-06-12 |
| Mercy Hospital SpringfieldSpringfield, MO | $18,363 | $5,94079 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| Mercy Hospital St. LouisSt. Louis, MO | $13,907 | $6,05962 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| MercyOne Des Moines Medical CenterDes Moines, IA | $27,412 | $6,17682 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| MetroHealth Medical CenterCleveland, OH | Not counted | $6,70014 payers | metrohealth.orgread 2026-11-06; file dated 2026-04-01 |
| Mississippi Baptist Medical CenterJackson, MS | Not counted | $9,53462 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| MUSC Health University Medical CenterCharleston, SC | Not counted | $5,7355 payers | d3crna64wemw02.cloudfront.netread 2026-11-06; file dated 2026-04-01 |
| Nashville General HospitalNashville, TN | $9,575 | $6,09010 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | Not counted | $8,06468 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Nebraska Methodist HospitalOmaha, NE | $4,652 | $7,12015 payers | bestcare.orgread 2026-11-06; file dated 2026-02-14 |
| Newport HospitalNewport, RI | Not counted | $6,9506 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $10,176 | $6,07910 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | Not counted | $9,4638 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Eastern Maine Medical CenterBangor, ME | Not counted | $5,7607 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-02-03 |
| Northern Light Mercy HospitalPortland, ME | Not counted | $5,8127 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-04-15 |
| OU Health University of Oklahoma Medical CenterOklahoma City, OK | $3,813 | $5,7867 payers | apim.services.craneware.comread 2026-11-06; file dated 2026-03-25 |
| Porter Medical CenterMiddlebury, VT | Not counted | $5,5431 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| Providence Alaska Medical CenterAnchorage, AK | Not counted | $14,5082 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Portland Medical CenterPortland, OR | Not counted | $12,2979 payersalso Providence St. Vincent Medical Center (same file host, counted once) | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | Not counted | $11,30611 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | Not counted | $11,59011 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Rhode Island HospitalProvidence, RI | Not counted | $9,5566 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $5,741 | $8,50310 payers | mrfs.hyvehealthcare.comread 2026-11-06; file dated 2026-03-04 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $19,429 | $6,39721 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $21,018 | $25,18889 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | Not counted | $10,5024 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | Not counted | $6,0098 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| Sentara Norfolk General HospitalNorfolk, VA | Not counted | $6,4485 payers | sentara.comread 2026-11-06; file dated 2026-04-01 |
| South County HospitalWakefield, RI | $12,787 | $1,9455 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| Southwestern Vermont Medical CenterBennington, VT | Not counted | $6,98810 payers | svmc.orgread 2026-11-06; file dated 2026-10-15 |
| St. Patrick HospitalMissoula, MT | Not counted | $6,3625 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | Not counted | $34,6905 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Swedish Medical Center First HillSeattle, WA | Not counted | $15,36916 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Tampa General HospitalTampa, FL | Not counted | $6,69220 payers | tgh.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $9,5617 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| The Mount Sinai HospitalNew York, NY | Not counted | $7,9057 payers | mountsinai.orgread 2026-11-06; file dated 2026-04-01 |
| The Queen's Medical CenterHonolulu, HI | $23,039 | $7,10712 payers | queens.orgread 2026-11-06; file dated 2026-03-11 |
| Thomas Jefferson University HospitalPhiladelphia, PA | Not counted | $6,6047 payers | use2webtechstgpricelist.blob.core.windows.netread 2026-11-06; file dated 2026-09-15 |
| Trinity HospitalsMinot, ND | Not counted | $6,1761 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UAMS Medical CenterLittle Rock, AR | $7,155 | $5,82225 payers | apim.services.craneware.comread 2026-11-06; file dated 2026-06-17 |
| UConn Health, Waterbury HospitalWaterbury, CT | Not counted | $9,5013 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-05-13 |
| UCSF Medical CenterSan Francisco, CA | Not counted | $13,5135 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| University of Chicago Medical CenterChicago, IL | Not counted | $7,4504 payers | edge.sitecorecloud.ioread 2026-11-06; file dated 2026-04-01 |
| UofL Health Jewish HospitalLouisville, KY | Not counted | $5,74314 payers | uoflhealth.orgread 2026-11-06; file dated 2026-01-01 |
| UT Southwestern University HospitalsDallas, TX | Not counted | $6,12610 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $7,43113 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
| Virginia Mason Medical CenterSeattle, WA | $11,659 | $14,64212 payers | vmfh.orgread 2026-11-06; file dated 2026-01-01 |
| Wellstar Kennestone Regional Medical CenterMarietta, GA | Not counted | $6,5708 payers | wellstar.orgread 2026-11-06; file dated 2026-04-01 |
Not counted, because the file lists several different charge lines for this code: West Virginia University Hospitals (WV, 2 lines).
What Medicare pays for an Inguinal hernia repair
This is what Medicare pays under its national fee schedule, before geographic adjustment. It is not a price charged to patients or to anyone without Medicare.
| Code | Surgical center facility rate | Physician, in a facility | Physician, in an office |
|---|---|---|---|
| 49505Open inguinal hernia repair, initial | $1,744.22 | $508.03 | No national amount |
| 49650Laparoscopic inguinal hernia repair, initial | $3,030.97 | $424.19 | No national amount |
Physician amounts: CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026, read October 26, 2026. Computed by CMS’s formula with the file’s own conversion factor, before geographic adjustment.
Surgical center rates: CMS ambulatory surgical center rates, Addendum AA (October 2026), effective October 1, 2026, read October 26, 2026.
Not shown: what Medicare pays a hospital outpatient department. CMS publishes those rates (October 2026 Addendum B) only behind the AMA CPT licence agreement, which this site has not accepted; last checked November 6, 2026.
NOTE 3: The Medicare program payment is 80 percent of the total payment amount and beneficiary coinsurance is 20 percent of the total payment amount except for most preventive services. Sections 4104 and 10406 of the Affordable Care Act (ACA) waive coinsurance and the Part B deductible for most preventive services. These preventive services are identified with a double asterisk (**). (CMS, Addendum AA, quoted as published.)
The patient’s share under Original Medicare
Original Medicare Part B has an annual deductible, paid once a year before Medicare starts to pay. It is $283 (Calendar year 2026). CMS: 2026 Medicare Parts A & B Premiums and Deductibles, read October 26, 2026.
After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount for each covered service, where the provider accepts that amount as full payment. Medicare.gov: Medicare costs, read October 26, 2026.
Arithmetic, not a bill: 20% of the national surgical center rate for code 49650 ($3,030.97) is $606.19, before geographic adjustment and the deductible, and excluding the physician’s separate bill.
Medicare Advantage plans set their own cost-sharing; this site does not name or price any plan. Plan choice is explained on Medicare.gov.
Paying yourself: the Good Faith Estimate
Providers and facilities must give uninsured and self-pay patients a Good Faith Estimate of expected charges when a service is scheduled or on request.
“This section sets forth requirements for health care providers and health care facilities related to the issuance of good faith estimates of expected charges for uninsured (or self-pay) individuals (or their authorized representatives), upon request or upon scheduling an item or service.”
Ask for the estimate in writing when you book, and ask whether it covers the separate physician, radiology, anesthesia and pathology bills.
eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01), read October 26, 2026.
Calculator
Cash quote or insurance share for an Inguinal hernia repair?
Enter the quote you were given and your own plan figures. Every field starts empty: the tool uses only what you type, or a sourced figure you choose to copy in.
- Median hospital cash price, code 49650 (US): $11,446.56 (22 hospitals, facility charge only). every hospital and its file, read November 6, 2026.
- Median hospital negotiated rate, code 49650 (US): $6,692.01 (77 hospitals, facility charge only; your plan's own rate may differ). every hospital and its file, read November 6, 2026.
Enter a cash quote and your plan’s allowed amount to see the comparison.
The insurance share is the deductible still to pay (up to the allowed amount), plus your coinsurance on the rest, plus any copay, capped at the out-of-pocket limit you entered. It does not check network status, prior authorization, separately billed physician, radiology, anesthesia or pathology fees, or whether a cash payment counts toward your deductible.
Help the dataset
A written quote or an explanation of benefits you have received helps other readers. Useful submissions include billing code, facility charge, professional fee, provider name, date quoted and whether the amount was a cash price, an allowed amount, your share on an explanation of benefits, or a billed charge.
Before booking, ask
Provider
- What billing code will be used for this Inguinal hernia repair?
- Is the cash quote complete, or are professional or facility fees separate?
- Is contrast, anesthesia, pathology or follow-up included if relevant?
- Can you provide the quote in writing before booking?
- Is the repair open or laparoscopic, and which billing code will be used?
- Is it a first repair or a repeat repair?
Insurer
- Is the provider in-network for my exact plan?
- Will this billing code require prior authorization?
- What patient responsibility do you estimate after deductible, copay and coinsurance?
- If I pay cash, can I submit a claim afterwards, and would it count toward my deductible?
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Inguinal hernia repair by state
44 of 51 states and DC have a hospital file we read with a figure for these codes.
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKentuckyMaineMichiganMinnesotaMississippiMissouriMontanaNebraskaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAll state pages
What changes an Inguinal hernia repair bill?
The useful comparison is itemized. These are the fields to pin down before relying on any quote.
| Factor | Why it matters | What to ask |
|---|---|---|
| Open or laparoscopic | The approach decides the code, and each code has its own price. | Ask which approach is planned and which code will be billed. |
| Facility setting | Medicare pays an ambulatory surgical center and a hospital outpatient department under different fee schedules. | Confirm whether the operation is at an ambulatory surgical center or a hospital outpatient department. |
| Surgeon professional fee | The surgeon usually bills separately from the facility. | Ask whether the quote includes the surgeon fee and the facility fee. |
| Anesthesia billing | Anesthesia is typically billed separately; its network status can differ. | Ask whether anesthesia is included and whether the anesthesia provider is in network. |
Hospital outpatient department
The operation at a hospital without an inpatient admission.
What to check: Hospital files list a facility charge separately from the surgeon.
Hospital inpatient stay
Admission to hospital after the operation.
What to check: Priced as a whole stay. Not shown on this page.
Common Inguinal hernia repair billing codes
The code changes the comparison. Ask the ordering clinician or provider which code will be billed. Labels are our own plain-English descriptions.
| Code | What it is | When it is used |
|---|---|---|
| 49650 | Laparoscopic inguinal hernia repair, initial | Laparoscopic (keyhole) repair of an inguinal hernia, first repair. |
| 49505 | Open inguinal hernia repair, initial | Open repair of an inguinal hernia, first repair. |
Questions to ask before booking
- Is the repair open or laparoscopic, and which billing code will be used?
- Is it a first repair or a repeat repair?
- Is the operation at an ambulatory surgical center or a hospital outpatient department?
- Are surgeon, facility and anesthesia all included in the quote, or billed separately?
- If I pay cash, will the payment count toward my deductible or out-of-pocket limit?
- What is my estimated patient responsibility if billed to my insurance?
What these figures are not
- A hospital’s discounted cash price is what that hospital charges a self-pay patient for the line it lists. It may not include the separately billed physician, radiologist, anesthesia or pathology fees.
- A negotiated rate is what one payer contracted with one hospital. It is not what a patient on that plan pays, which depends on the deductible, coinsurance, copay and network status.
- What Medicare pays is a national fee-schedule amount before geographic adjustment. It is not a price charged to anyone without Medicare.
Across 22 US hospital standard-charge files read on November 6, 2026, the median discounted cash price for code 49650 (Laparoscopic inguinal hernia repair, initial) was $11,447, as the hospital's facility charge. Each hospital's figure and file is listed on the TreatCompare page.
For the same code, the median of 77 hospitals' middle negotiated rates with insurers was $6,692. A negotiated rate is what the insurer pays the hospital, not what the patient pays.
Medicare's national payment amount for code 49650 is $3,030.97 (CMS ambulatory surgical center rates, Addendum AA (October 2026)), before geographic adjustment. It is not a price charged to anyone without Medicare.
Sources: hospital standard-charge files read on November 6, 2026; CMS Physician Fee Schedule, relative value file RVU26D, read October 26, 2026.
Using this data?
Methodology, extracts and licensing
Main sources
- Hospital standard-charge files (83 hospitals, each file linked below)
- CMS Physician Fee Schedule, relative value file RVU26D
- CMS ambulatory surgical center rates, Addendum AA (October 2026)
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles
- Medicare.gov: Medicare costs
- HealthCare.gov glossary: out-of-pocket maximum/limit
- eCFR: 45 CFR 149.610
Methodology: Hospital figures are read from each hospital's standard-charge file: one figure per hospital and billing code, facility charge only, with a median only at 4 or more hospitals, and cash and negotiated rates never combined. Medicare amounts are CMS's national fee-schedule amounts.
TreatCompare publishes healthcare, care-cost and treatment-pricing research for consumers, journalists, policymakers and commercial teams.
Contact TreatCompare about dataMethodology, source summaries and structured extracts: TreatCompare data team
Sources
- Hospital standard-charge files (83 hospitals, each file linked below). Read 6 November 2026. Discounted cash prices and negotiated rates, published under 45 CFR 180.50.
- CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026. Read 26 October 2026. What Medicare pays a clinician, national amount.
- CMS ambulatory surgical center rates, Addendum AA (October 2026), effective October 1, 2026. Read 26 October 2026. What Medicare pays an ambulatory surgical center, national rate.
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles, Calendar year 2026. Read 26 October 2026. Medicare Part B annual deductible
- Medicare.gov: Medicare costs, In force (statutory share; not set annually). Read 26 October 2026. Medicare Part B coinsurance
- HealthCare.gov glossary: out-of-pocket maximum/limit, Plan year 2026. Read 26 October 2026. Marketplace out-of-pocket limit, individual
- eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01). Read 26 October 2026. Good Faith Estimate for uninsured or self-pay patients
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