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Procedure price report · Inguinal and femoral hernia repair

Repeat groin hernia repair for trapped hernia

CPT 49521the billing code this page is about

Open surgery for a groin hernia that has returned after earlier repair and is now stuck outside the abdominal wall or has its blood supply pinched off.

Hospitals typically charge $2,985 cash for this outpatient procedure — the median across 810 hospitals that filed a usable cash price; the average of the middle 60% is $3,562. Most fall between $1,325 and $8,326 (20th–80th percentile).

Hospitals
810
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 810 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
$987$1,487$2,985$6,913$13,535

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($987 vs $13,535).

How the prices are spread

$723 – $1,002: 43 hospitals$723$1,002 – $1,389: 95 hospitals$1,389 – $1,925: 127 hospitals$1,389$1,925 – $2,668: 81 hospitals$2,668 – $3,698: 76 hospitals$2,668$3,698 – $5,126: 68 hospitals$5,126 – $7,105: 81 hospitals$5,126$7,105 – $9,847: 64 hospitals$9,847 – $13,648: 55 hospitals$9,847$13,648 – $18,917: 40 hospitals$13,648median $2,985price bands are equal on a log scale
Hospitals per price band (730 of 810 — the bands cover the 5th to 95th percentile)
FromToHospitals
$723$1,00243
$1,002$1,38995
$1,389$1,925127
$1,925$2,66881
$2,668$3,69876
$3,698$5,12668
$5,126$7,10581
$7,105$9,84764
$9,847$13,64855
$13,648$18,91740

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,614
Median cash price$2,985
Cash as a multiple of Medicare0.45×

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 $2,985.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,302 across 25 hospitalsWA$2,302Idaho: median $3,090 across 14 hospitalsID$3,090Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,713 across 32 hospitalsMN$2,713Illinois: median $1,757 across 32 hospitalsIL$1,757Wisconsin: median $3,693 across 37 hospitalsWI$3,693Michigan: median $1,863 across 34 hospitalsMI$1,863New York: median $4,595 across 58 hospitalsNY$4,595Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,966 across 24 hospitalsOR$1,966Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,757 across 41 hospitalsIA$1,757Indiana: median $1,209 across 18 hospitalsIN$1,209Ohio: median $2,985 across 26 hospitalsOH$2,985Pennsylvania: median $4,971 across 33 hospitalsPA$4,971New Jersey: median $6,907 across 34 hospitalsNJ$6,907Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,488 across 59 hospitalsCA$3,488Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,776 across 12 hospitalsCO$1,776Nebraska: median $1,723 across 16 hospitalsNE$1,723Missouri: median $2,530 across 21 hospitalsMO$2,530Kentucky: median $1,148 across 12 hospitalsKY$1,148West Virginia: median $3,868 across 17 hospitalsWV$3,868Virginia: median $14,076 across 11 hospitalsVA$14,076Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,361 across 19 hospitalsKS$1,361Arkansas: median $4,903 across 12 hospitalsAR$4,903Tennessee: median $798 across 10 hospitalsTN$798North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,508 across 12 hospitalsOK$1,508Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,100 across 11 hospitalsAL$4,100Georgia: median $16,385 across 18 hospitalsGA$16,385Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,671 across 34 hospitalsTX$5,671Florida: median $6,551 across 26 hospitalsFL$6,551
Cash price by state, most expensive first. National median $2,985. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA18$16,385+449%$5,642 – $17,443
Virginia VA11$14,076+372%$3,946 – $24,650
New Jersey NJ34$6,907+131%$5,110 – $8,376
Florida FL26$6,551+119%$2,614 – $8,441
Texas TX34$5,671+90%$2,537 – $9,366
Pennsylvania PA33$4,971+67%$487 – $10,549
Arkansas AR12$4,903+64%$1,450 – $5,464
New York NY58$4,595+54%$1,565 – $7,384
Alabama AL11$4,100+37%$2,020 – $9,528
West Virginia WV17$3,868+30%$808 – $10,297
Wisconsin WI37$3,693+24%$3,251 – $5,302
California CA59$3,488+17%$2,056 – $13,535
Idaho ID14$3,090+4%$1,838 – $14,664
Ohio OH26$2,9850%$1,453 – $23,962
Minnesota MN32$2,713−9%$1,255 – $3,659
Missouri MO21$2,530−15%$1,149 – $9,522
Washington WA25$2,302−23%$1,416 – $7,219
Oregon OR24$1,966−34%$1,325 – $2,386
Michigan MI34$1,863−38%$1,386 – $8,902
Colorado CO12$1,776−40%$1,228 – $8,036
Iowa IA41$1,757−41%$1,372 – $2,231
Illinois IL32$1,757−41%$1,027 – $5,351
Nebraska NE16$1,723−42%$1,398 – $4,188
Oklahoma OK12$1,508−49%$1,508 – $1,508
Kansas KS19$1,361−54%$713 – $5,544
Indiana IN18$1,209−59%$1,027 – $7,722
Kentucky KY12$1,148−62%$772 – $1,434
Tennessee TN10$798−73%$708 – $8,094
New Hampshire NH9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Utah UT1not 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 $2,985.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care542$4,529$1,493 – $10,604
Children’s7fewer than 20 hospitals
Critical access260$1,900$1,234 – $4,188
Ownership
For-profit74$6,739$1,508 – $17,322
Government178$2,172$1,332 – $6,809
Non-profit557$3,119$1,325 – $8,094
System affiliation
Part of a system600$3,693$1,398 – $8,949
Independent210$1,967$1,205 – $5,351

Cash price vs list price

Median list price (chargemaster)$3,244
Median cash price$2,985
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

399 hospitals filed a usable inpatient cash price for this code. The median is $2,056 and the average of the middle 60% is $2,597; most fall between $1,101 and $5,642.

Cash price percentiles, inpatient, across 399 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
$833$1,321$2,056$4,817$13,535

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($833 vs $13,535).

Of the 444 hospitals that filed this code inpatient, 399 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

810 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 889 hospitals that filed this code at all gave us
Usable cash price — counted810
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded25
Hospitals that filed this code889

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Recrt Ingun Hernia Any Age Incarcerated.

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, “Repeat groin hernia repair for trapped hernia (CPT 49521) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49521-repeat-groin-hernia-repair-for-trapped-hernia