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Procedure price report · Inguinal and femoral hernia repair

Preterm infant inguinal hernia repair, reducible

CPT 49491the billing code this page is about

First repair of a groin hernia in a baby born prematurely and treated up to 50 weeks after conception, where the hernia can be pushed back in; may include hydrocele repair.

Hospitals typically charge $4,713 cash for this outpatient procedure — the median across 263 hospitals that filed a usable cash price; the average of the middle 60% is $4,301. Most fall between $1,372 and $7,547 (20th–80th percentile).

Hospitals
263
States
39
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 263 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,030$1,615$4,713$7,244$12,807

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,030 vs $12,807).

How the prices are spread

$967 – $1,252: 21 hospitals$967$1,252 – $1,621: 32 hospitals$1,621 – $2,098: 22 hospitals$1,621$2,098 – $2,717: 23 hospitals$2,717 – $3,518: 7 hospitals$2,717$3,518 – $4,556: 9 hospitals$4,556 – $5,899: 34 hospitals$4,556$5,899 – $7,638: 51 hospitals$7,638 – $9,891: 16 hospitals$7,638$9,891 – $12,807: 24 hospitals$9,891median $4,713price bands are equal on a log scale
Hospitals per price band (239 of 263 — the bands cover the 5th to 95th percentile)
FromToHospitals
$967$1,25221
$1,252$1,62132
$1,621$2,09822
$2,098$2,71723
$2,717$3,5187
$3,518$4,5569
$4,556$5,89934
$5,899$7,63851
$7,638$9,89116
$9,891$12,80724

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,713
Cash as a multiple of Medicare0.76×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,713.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,949 across 13 hospitalsIL$1,949Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,425 across 11 hospitalsMI$1,425New York: median $6,904 across 22 hospitalsNY$6,904Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,473 across 10 hospitalsOR$1,473Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,949 across 14 hospitalsIA$1,949Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $6,376 across 30 hospitalsNJ$6,376Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,807 across 35 hospitalsCA$12,807Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,316 across 12 hospitalsOK$1,316Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,713 across 20 hospitalsTX$4,713Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,713. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$12,807+172%$7,244 – $12,807
New York NY22$6,904+46%$2,400 – $6,904
New Jersey NJ30$6,376+35%$4,881 – $6,871
Texas TX20$4,7130%$2,135 – $5,074
Iowa IA14$1,949−59%$1,949 – $1,949
Illinois IL13$1,949−59%$1,030 – $4,245
Oregon OR10$1,473−69%$1,473 – $2,190
Michigan MI11$1,425−70%$1,372 – $8,313
Oklahoma OK12$1,316−72%$1,316 – $1,316
Pennsylvania PA9not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,713.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care220$5,074$1,473 – $7,785
Children’s10fewer than 20 hospitals
Critical access33$2,190$1,030 – $4,951
Ownership
For-profit23$2,852$1,030 – $8,942
Government37$2,236$1,435 – $6,904
Non-profit203$4,951$1,473 – $7,785
System affiliation
Part of a system225$4,951$1,473 – $7,785
Independent38$2,052$1,248 – $5,234

Cash price vs list price

Median list price (chargemaster)$2,943
Median cash price$4,713
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

165 hospitals filed a usable inpatient cash price for this code. The median is $2,493 and the average of the middle 60% is $3,628; most fall between $1,316 and $10,994.

Cash price percentiles, inpatient, across 165 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,030$1,435$2,493$7,244$12,807

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,030 vs $12,807).

Of the 202 hospitals that filed this code inpatient, 165 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

263 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 300 hospitals that filed this code at all gave us
Usable cash price — counted263
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded4
Hospitals that filed this code300

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Inguinal and femoral hernia repair family.

Hospitals file this code under descriptions such as Rpr 1st Ingun Hrna Preterm Inft Rdc.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Preterm infant inguinal hernia repair, reducible (CPT 49491) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49491-preterm-infant-inguinal-hernia-repair-reducible