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Procedure price report · Inguinal and femoral hernia repair

Keyhole repair of a returning groin hernia

CPT 49651the billing code this page is about

Laparoscopic (small-incision, camera-guided) repair of an inguinal hernia that has come back after an earlier repair.

Hospitals typically charge $3,204 cash for this outpatient procedure — the median across 957 hospitals that filed a usable cash price; the average of the middle 60% is $4,616. Most fall between $1,111 and $13,252 (20th–80th percentile).

Hospitals
957
States
50
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 957 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
$797$1,205$3,204$9,893$19,097

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($797 vs $19,097).

How the prices are spread

$563 – $829: 65 hospitals$563$829 – $1,222: 135 hospitals$1,222 – $1,802: 127 hospitals$1,222$1,802 – $2,656: 66 hospitals$2,656 – $3,915: 58 hospitals$2,656$3,915 – $5,771: 62 hospitals$5,771 – $8,506: 111 hospitals$5,771$8,506 – $12,539: 86 hospitals$12,539 – $18,483: 100 hospitals$12,539$18,483 – $27,246: 53 hospitals$18,483median $3,204price bands are equal on a log scale
Hospitals per price band (863 of 957 — the bands cover the 5th to 95th percentile)
FromToHospitals
$563$82965
$829$1,222135
$1,222$1,802127
$1,802$2,65666
$2,656$3,91558
$3,915$5,77162
$5,771$8,506111
$8,506$12,53986
$12,539$18,483100
$18,483$27,24653

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,204
Cash as a multiple of Medicare0.52×

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 $3,204.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,246 across 11 hospitalsVT$1,246New Hampshire: median $707 across 10 hospitalsNH$707Washington: median $1,587 across 27 hospitalsWA$1,587Idaho: median $9,476 across 16 hospitalsID$9,476Montana: median $1,582 across 12 hospitalsMT$1,582North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,388 across 40 hospitalsMN$2,388Illinois: median $2,028 across 41 hospitalsIL$2,028Wisconsin: median $2,927 across 38 hospitalsWI$2,927Michigan: median $1,375 across 40 hospitalsMI$1,375New York: median $6,904 across 61 hospitalsNY$6,904Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,556 across 24 hospitalsOR$1,556Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,371 across 41 hospitalsIA$1,371Indiana: median $2,235 across 27 hospitalsIN$2,235Ohio: median $16,345 across 40 hospitalsOH$16,345Pennsylvania: median $5,947 across 36 hospitalsPA$5,947New Jersey: median $6,458 across 33 hospitalsNJ$6,458Connecticut: 7 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 $5,042 across 62 hospitalsCA$5,042Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,165 across 14 hospitalsCO$1,165Nebraska: median $1,755 across 19 hospitalsNE$1,755Missouri: median $5,516 across 27 hospitalsMO$5,516Kentucky: median $1,109 across 14 hospitalsKY$1,109West Virginia: median $6,392 across 21 hospitalsWV$6,392Virginia: median $14,499 across 17 hospitalsVA$14,499Maryland: 3 hospitals 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: median $5,881 across 12 hospitalsNM$5,881Kansas: median $1,200 across 30 hospitalsKS$1,200Arkansas: median $5,532 across 13 hospitalsAR$5,532Tennessee: median $6,609 across 16 hospitalsTN$6,609North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,186 across 17 hospitalsOK$1,186Louisiana: median $8,240 across 12 hospitalsLA$8,240Mississippi: median $5,302 across 12 hospitalsMS$5,302Alabama: median $5,395 across 15 hospitalsAL$5,395Georgia: median $12,994 across 14 hospitalsGA$12,994Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,177 across 37 hospitalsTX$8,177Florida: median $13,320 across 17 hospitalsFL$13,320
Cash price by state, most expensive first. National median $3,204. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH40$16,345+410%$1,379 – $50,235
Virginia VA17$14,499+353%$707 – $18,853
Florida FL17$13,320+316%$2,179 – $17,791
Georgia GA14$12,994+306%$6,096 – $18,337
Idaho ID16$9,476+196%$1,123 – $15,131
Louisiana LA12$8,240+157%$7,247 – $10,200
Texas TX37$8,177+155%$5,574 – $13,364
New York NY61$6,904+115%$1,365 – $9,188
Tennessee TN16$6,609+106%$512 – $8,136
New Jersey NJ33$6,458+102%$5,110 – $7,786
West Virginia WV21$6,392+99%$754 – $16,383
Pennsylvania PA36$5,947+86%$416 – $11,934
New Mexico NM12$5,881+84%$1,220 – $21,842
Arkansas AR13$5,532+73%$1,407 – $7,093
Missouri MO27$5,516+72%$842 – $15,691
Alabama AL15$5,395+68%$1,569 – $14,207
Mississippi MS12$5,302+65%$1,283 – $11,057
California CA62$5,042+57%$1,440 – $14,308
Wisconsin WI38$2,927−9%$2,218 – $7,274
Minnesota MN40$2,388−25%$1,206 – $3,306
Indiana IN27$2,235−30%$797 – $19,097
Illinois IL41$2,028−37%$1,131 – $13,502
Nebraska NE19$1,755−45%$1,269 – $5,690
Washington WA27$1,587−50%$1,066 – $10,913
Montana MT12$1,582−51%$1,152 – $8,217
Oregon OR24$1,556−51%$1,048 – $2,293
Michigan MI40$1,375−57%$1,111 – $8,313
Iowa IA41$1,371−57%$1,040 – $2,038
Vermont VT11$1,246−61%$806 – $2,274
Kansas KS30$1,200−63%$839 – $4,953
Oklahoma OK17$1,186−63%$1,186 – $15,551
Colorado CO14$1,165−64%$787 – $3,507
Kentucky KY14$1,109−65%$797 – $10,634
New Hampshire NH10$707−78%$528 – $1,270
North Carolina NC9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not 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 $3,204.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care665$6,458$1,186 – $14,824
Children’s10fewer than 20 hospitals
Critical access280$1,517$989 – $3,341
Ownership
For-profit105$9,476$1,706 – $19,086
Government177$1,953$1,105 – $7,515
Non-profit673$3,055$1,048 – $12,994
System affiliation
Part of a system709$4,920$1,186 – $14,308
Independent248$1,669$990 – $7,822

Cash price vs list price

Median list price (chargemaster)$3,193
Median cash price$3,204
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

420 hospitals filed a usable inpatient cash price for this code. The median is $1,429 and the average of the middle 60% is $1,932; most fall between $797 and $6,099.

Cash price percentiles, inpatient, across 420 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
$512$901$1,429$3,936$12,994

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($512 vs $12,994).

Of the 475 hospitals that filed this code inpatient, 420 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 33 a list price only.

How complete is this

957 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,051 hospitals that filed this code at all gave us
Usable cash price — counted957
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded32
Hospitals that filed this code1,051

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 Laps Surg Rpr Recurrent 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 returning groin hernia (CPT 49651) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49651-keyhole-repair-of-a-returning-groin-hernia