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Procedure price report · Inguinal and femoral hernia repair

Keyhole repair of a first-time groin hernia

CPT 49650the billing code this page is about

Laparoscopic (small-incision, camera-guided) repair of an initial inguinal hernia in the groin.

Hospitals typically charge $3,118 cash for this outpatient procedure — the median across 1,105 hospitals that filed a usable cash price; the average of the middle 60% is $4,717. Most fall between $903 and $14,553 (20th–80th percentile).

Hospitals
1,105
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 1,105 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
$660$1,033$3,118$11,234$22,395

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($660 vs $22,395).

How the prices are spread

$456 – $688: 76 hospitals$456$688 – $1,038: 147 hospitals$1,038 – $1,565: 151 hospitals$1,038$1,565 – $2,362: 78 hospitals$2,362 – $3,563: 53 hospitals$2,362$3,563 – $5,376: 60 hospitals$5,376 – $8,111: 130 hospitals$5,376$8,111 – $12,238: 94 hospitals$12,238 – $18,464: 116 hospitals$12,238$18,464 – $27,857: 90 hospitals$18,464median $3,118price bands are equal on a log scale
Hospitals per price band (995 of 1,105 — the bands cover the 5th to 95th percentile)
FromToHospitals
$456$68876
$688$1,038147
$1,038$1,565151
$1,565$2,36278
$2,362$3,56353
$3,563$5,37660
$5,376$8,111130
$8,111$12,23894
$12,238$18,464116
$18,464$27,85790

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,118
Cash as a multiple of Medicare0.50×

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 $3,118.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $718 across 12 hospitalsME$718Vermont: median $981 across 11 hospitalsVT$981New Hampshire: median $686 across 11 hospitalsNH$686Washington: median $2,729 across 30 hospitalsWA$2,729Idaho: median $7,818 across 17 hospitalsID$7,818Montana: median $1,111 across 14 hospitalsMT$1,111North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,442 across 48 hospitalsMN$1,442Illinois: median $1,484 across 43 hospitalsIL$1,484Wisconsin: median $2,244 across 41 hospitalsWI$2,244Michigan: median $1,053 across 43 hospitalsMI$1,053New York: median $6,904 across 63 hospitalsNY$6,904Massachusetts: median $8,051 across 14 hospitalsMA$8,051Oregon: median $1,269 across 23 hospitalsOR$1,269Nevada: median $6,374 across 10 hospitalsNV$6,374Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,061 across 53 hospitalsIA$1,061Indiana: median $2,235 across 32 hospitalsIN$2,235Ohio: median $17,949 across 45 hospitalsOH$17,949Pennsylvania: median $6,841 across 31 hospitalsPA$6,841New Jersey: median $6,458 across 34 hospitalsNJ$6,458Connecticut: 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 $15,907 across 70 hospitalsCA$15,907Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,010 across 17 hospitalsCO$1,010Nebraska: median $1,331 across 21 hospitalsNE$1,331Missouri: median $5,226 across 35 hospitalsMO$5,226Kentucky: median $1,123 across 19 hospitalsKY$1,123West Virginia: median $4,534 across 24 hospitalsWV$4,534Virginia: median $13,749 across 19 hospitalsVA$13,749Maryland: 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 $7,419 across 12 hospitalsAZ$7,419New Mexico: median $5,634 across 13 hospitalsNM$5,634Kansas: median $1,103 across 35 hospitalsKS$1,103Arkansas: median $2,532 across 20 hospitalsAR$2,532Tennessee: median $7,243 across 21 hospitalsTN$7,243North Carolina: median $7,425 across 13 hospitalsNC$7,425South Carolina: median $10,393 across 12 hospitalsSC$10,393Oklahoma: median $908 across 17 hospitalsOK$908Louisiana: median $5,366 across 19 hospitalsLA$5,366Mississippi: median $5,729 across 14 hospitalsMS$5,729Alabama: median $5,395 across 16 hospitalsAL$5,395Georgia: median $11,234 across 15 hospitalsGA$11,234Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $12,418 across 47 hospitalsTX$12,418Florida: median $2,344 across 21 hospitalsFL$2,344
Cash price by state, most expensive first. National median $3,118. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH45$17,949+476%$776 – $43,114
California CA70$15,907+410%$1,278 – $26,068
Virginia VA19$13,749+341%$534 – $18,605
Texas TX47$12,418+298%$4,893 – $15,065
Georgia GA15$11,234+260%$6,034 – $11,234
South Carolina SC12$10,393+233%$6,805 – $26,409
Massachusetts MA14$8,051+158%$4,202 – $24,913
Idaho ID17$7,818+151%$952 – $15,131
North Carolina NC13$7,425+138%$1,553 – $16,538
Arizona AZ12$7,419+138%$620 – $18,489
Tennessee TN21$7,243+132%$476 – $11,311
New York NY63$6,904+121%$1,193 – $9,188
Pennsylvania PA31$6,841+119%$1,126 – $12,564
New Jersey NJ34$6,458+107%$5,110 – $7,785
Nevada NV10$6,374+104%$1,552 – $8,400
Mississippi MS14$5,729+84%$1,046 – $12,787
New Mexico NM13$5,634+81%$903 – $17,951
Alabama AL16$5,395+73%$1,206 – $14,602
Louisiana LA19$5,366+72%$2,300 – $12,947
Missouri MO35$5,226+68%$698 – $17,673
West Virginia WV24$4,534+45%$781 – $12,032
Washington WA30$2,729−12%$857 – $13,360
Arkansas AR20$2,532−19%$919 – $6,164
Florida FL21$2,344−25%$1,654 – $12,565
Wisconsin WI41$2,244−28%$1,499 – $3,631
Indiana IN32$2,235−28%$661 – $23,440
Illinois IL43$1,484−52%$806 – $15,462
Minnesota MN48$1,442−54%$753 – $2,860
Nebraska NE21$1,331−57%$984 – $5,908
Oregon OR23$1,269−59%$803 – $2,294
Kentucky KY19$1,123−64%$661 – $17,723
Montana MT14$1,111−64%$642 – $7,646
Kansas KS35$1,103−65%$500 – $5,695
Iowa IA53$1,061−66%$850 – $1,980
Michigan MI43$1,053−66%$832 – $8,313
Colorado CO17$1,010−68%$743 – $4,218
Vermont VT11$981−69%$620 – $1,744
Oklahoma OK17$908−71%$908 – $15,497
Maine ME12$718−77%$360 – $1,479
New Hampshire NH11$686−78%$402 – $1,233
Connecticut CT8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Utah UT3not 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 $3,118.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care732$6,575$1,053 – $16,538
Children’s22$4,407$649 – $27,906
Critical access349$1,221$743 – $3,631
Ownership
For-profit127$10,788$2,489 – $19,329
Government231$1,441$823 – $6,904
Non-profit745$3,513$905 – $14,746
System affiliation
Part of a system817$5,338$984 – $15,907
Independent288$1,445$763 – $7,541

Cash price vs list price

Median list price (chargemaster)$2,979
Median cash price$3,118
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

500 hospitals filed a usable inpatient cash price for this code. The median is $1,126 and the average of the middle 60% is $1,666; most fall between $535 and $6,571.

Cash price percentiles, inpatient, across 500 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
$286$661$1,126$3,631$14,746

The most expensive tenth of hospitals charges at least 52× what the cheapest tenth charges ($286 vs $14,746).

Of the 561 hospitals that filed this code inpatient, 500 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 35 a list price only.

How complete is this

1,105 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,227 hospitals that filed this code at all gave us
Usable cash price — counted1,105
Cash price carrying a plausibility flag — shown on the compare tool, excluded here75
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded37
Hospitals that filed this code1,227

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 Laparoscopy Surg Rpr Initial Inguinal Hernia.

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, “Keyhole repair of a first-time groin hernia (CPT 49650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49650-keyhole-repair-of-a-first-time-groin-hernia