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Procedure price report · Other hernia repair

First abdominal wall hernia repair, under 3 cm, reducible

CPT 49591the billing code this page is about

Surgery to close a first-time hernia of the front abdominal wall measuring less than 3 centimeters across, where the bulging tissue can be pushed back in. Covers any surgical approach.

Hospitals typically charge $2,692 cash for this outpatient procedure — the median across 1,164 hospitals that filed a usable cash price; the average of the middle 60% is $3,193. Most fall between $691 and $7,725 (20th–80th percentile).

Hospitals
1,164
States
50
Filings dated
Mar 2023 – 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 1,164 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
$509$769$2,692$6,804$13,585

The most expensive tenth of hospitals charges at least 27× what the cheapest tenth charges ($509 vs $13,585).

How the prices are spread

$356 – $531: 68 hospitals$356$531 – $791: 180 hospitals$791 – $1,179: 126 hospitals$791$1,179 – $1,758: 63 hospitals$1,758 – $2,621: 76 hospitals$1,758$2,621 – $3,907: 110 hospitals$3,907 – $5,825: 146 hospitals$3,907$5,825 – $8,684: 143 hospitals$8,684 – $12,947: 68 hospitals$8,684$12,947 – $19,301: 68 hospitals$12,947median $2,692price bands are equal on a log scale
Hospitals per price band (1,048 of 1,164 — the bands cover the 5th to 95th percentile)
FromToHospitals
$356$53168
$531$791180
$791$1,179126
$1,179$1,75863
$1,758$2,62176
$2,621$3,907110
$3,907$5,825146
$5,825$8,684143
$8,684$12,94768
$12,947$19,30168

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,658
Median cash price$2,692
Cash as a multiple of Medicare0.74×

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 $2,692.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $827 across 11 hospitalsME$827Vermont: median $756 across 11 hospitalsVT$756New Hampshire: median $612 across 12 hospitalsNH$612Washington: median $1,328 across 30 hospitalsWA$1,328Idaho: median $4,413 across 19 hospitalsID$4,413Montana: median $698 across 15 hospitalsMT$698North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,059 across 56 hospitalsMN$1,059Illinois: median $1,062 across 47 hospitalsIL$1,062Wisconsin: median $2,126 across 44 hospitalsWI$2,126Michigan: median $681 across 48 hospitalsMI$681New York: median $4,176 across 66 hospitalsNY$4,176Massachusetts: median $1,514 across 15 hospitalsMA$1,514Oregon: median $942 across 23 hospitalsOR$942Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 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 $877 across 57 hospitalsIA$877Indiana: median $3,769 across 34 hospitalsIN$3,769Ohio: median $10,950 across 45 hospitalsOH$10,950Pennsylvania: median $5,480 across 37 hospitalsPA$5,480New Jersey: median $4,627 across 35 hospitalsNJ$4,627Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,582 across 67 hospitalsCA$4,582Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $922 across 19 hospitalsCO$922Nebraska: median $1,475 across 26 hospitalsNE$1,475Missouri: median $3,995 across 37 hospitalsMO$3,995Kentucky: median $694 across 16 hospitalsKY$694West Virginia: median $2,639 across 23 hospitalsWV$2,639Virginia: median $12,366 across 20 hospitalsVA$12,366Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $8,446 across 13 hospitalsAZ$8,446New Mexico: median $4,243 across 14 hospitalsNM$4,243Kansas: median $1,432 across 37 hospitalsKS$1,432Arkansas: median $3,030 across 23 hospitalsAR$3,030Tennessee: median $4,818 across 22 hospitalsTN$4,818North Carolina: median $4,501 across 24 hospitalsNC$4,501South Carolina: median $8,313 across 10 hospitalsSC$8,313Oklahoma: median $719 across 18 hospitalsOK$719Louisiana: median $6,259 across 17 hospitalsLA$6,259Mississippi: median $4,911 across 17 hospitalsMS$4,911Alabama: median $3,995 across 16 hospitalsAL$3,995Georgia: median $4,466 across 24 hospitalsGA$4,466Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,200 across 33 hospitalsTX$5,200Florida: median $5,849 across 21 hospitalsFL$5,849
Cash price by state, most expensive first. National median $2,692. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA20$12,366+359%$835 – $14,511
Ohio OH45$10,950+307%$1,011 – $23,567
Arizona AZ13$8,446+214%$492 – $20,075
South Carolina SC10$8,313+209%$4,698 – $16,887
Louisiana LA17$6,259+133%$2,548 – $8,925
Florida FL21$5,849+117%$1,704 – $13,883
Pennsylvania PA37$5,480+104%$821 – $7,768
Texas TX33$5,200+93%$1,343 – $12,255
Mississippi MS17$4,911+82%$981 – $9,627
Tennessee TN22$4,818+79%$541 – $6,677
New Jersey NJ35$4,627+72%$3,906 – $5,741
California CA67$4,582+70%$1,047 – $7,482
North Carolina NC24$4,501+67%$2,536 – $8,245
Georgia GA24$4,466+66%$779 – $8,241
Idaho ID19$4,413+64%$784 – $8,630
New Mexico NM14$4,243+58%$848 – $13,584
New York NY66$4,176+55%$606 – $4,595
Alabama AL16$3,995+48%$942 – $11,526
Missouri MO37$3,995+48%$727 – $10,016
Indiana IN34$3,769+40%$623 – $14,577
Arkansas AR23$3,030+13%$734 – $4,878
West Virginia WV23$2,639−2%$773 – $5,491
Wisconsin WI44$2,126−21%$939 – $3,588
Massachusetts MA15$1,514−44%$1,214 – $6,607
Nebraska NE26$1,475−45%$566 – $3,891
Kansas KS37$1,432−47%$567 – $4,487
Washington WA30$1,328−51%$723 – $6,758
Illinois IL47$1,062−61%$638 – $7,725
Minnesota MN56$1,059−61%$635 – $2,727
Oregon OR23$942−65%$627 – $4,222
Colorado CO19$922−66%$640 – $7,857
Iowa IA57$877−67%$778 – $2,479
Maine ME11$827−69%$543 – $1,015
Vermont VT11$756−72%$453 – $1,348
Oklahoma OK18$719−73%$719 – $8,847
Montana MT15$698−74%$383 – $1,635
Kentucky KY16$694−74%$532 – $10,142
Michigan MI48$681−75%$352 – $4,923
New Hampshire NH12$612−77%$375 – $1,980
Alaska AK8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Rhode Island RI2not 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 $2,692.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care758$4,250$769 – $9,998
Children’s11fewer than 20 hospitals
Critical access393$1,015$609 – $3,588
Ownership
For-profit131$6,744$2,207 – $14,194
Government260$1,406$648 – $5,778
Non-profit771$2,580$666 – $7,482
System affiliation
Part of a system858$3,573$719 – $8,241
Independent306$1,202$589 – $5,849

Cash price vs list price

Median list price (chargemaster)$2,860
Median cash price$2,692
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

522 hospitals filed a usable inpatient cash price for this code. The median is $916 and the average of the middle 60% is $1,495; most fall between $509 and $4,688.

Cash price percentiles, inpatient, across 522 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
$334$587$916$3,588$7,482

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($334 vs $7,482).

Of the 588 hospitals that filed this code inpatient, 522 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

1,164 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,281 hospitals that filed this code at all gave us
Usable cash price — counted1,164
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded9
A list price only, no cash figure — excluded40
Hospitals that filed this code1,281

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 Other hernia repair family.

Hospitals file this code under descriptions such as Rpr Aa Hernia 1st < 3 Cm Reducible.

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, “First abdominal wall hernia repair, under 3 cm, reducible (CPT 49591) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49591-first-abdominal-wall-hernia-repair-under-3-cm-reducible