HRHospitalRates.comCompare prices

Procedure price report

Keyhole repair of a hernia at an old surgical scar

CPT 49654the billing code this page is about

Laparoscopic repair of an incisional or ventral hernia at a previous surgical incision, when the bulging tissue can still be pushed back in.

Hospitals typically charge $2,011 cash for this outpatient procedure — the median across 182 hospitals that filed a usable cash price; the average of the middle 60% is $2,473. Most fall between $1,118 and $6,538 (20th–80th percentile).

Hospitals
182
States
36
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 182 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
$1,021$1,223$2,011$5,026$12,980

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,021 vs $12,980).

How the prices are spread

$832 – $1,102: 21 hospitals$832$1,102 – $1,460: 31 hospitals$1,460 – $1,935: 28 hospitals$1,460$1,935 – $2,564: 25 hospitals$2,564 – $3,398: 13 hospitals$2,564$3,398 – $4,502: 7 hospitals$4,502 – $5,966: 4 hospitals$4,502$5,966 – $7,906: 11 hospitals$7,906 – $10,476: 12 hospitals$7,906$10,476 – $13,882: 12 hospitals$10,476median $2,011price bands are equal on a log scale
Hospitals per price band (164 of 182 — the bands cover the 5th to 95th percentile)
FromToHospitals
$832$1,10221
$1,102$1,46031
$1,460$1,93528
$1,935$2,56425
$2,564$3,39813
$3,398$4,5027
$4,502$5,9664
$5,966$7,90611
$7,906$10,47612
$10,476$13,88212

By state

The median cash price in each state, against the national median of $2,011.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,545 across 12 hospitalsIL$1,545Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 5 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $1,379 across 11 hospitalsNY$1,379Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,762 across 11 hospitalsOR$1,762Nevada: 1 hospital 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 $1,622 across 16 hospitalsIA$1,622Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: 3 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 4 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 1 hospital filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $1,021 across 11 hospitalsOK$1,021Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $9,115 across 19 hospitalsTX$9,115Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,011. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX19$9,115+353%$6,538 – $9,115
Oregon OR11$1,762−12%$1,441 – $2,323
Iowa IA16$1,622−19%$1,297 – $2,384
Illinois IL12$1,545−23%$1,118 – $4,498
New York NY11$1,379−31%$970 – $2,037
Oklahoma OK11$1,021−49%$1,021 – $1,021
Indiana IN8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Pennsylvania PA4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Ohio OH3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
California CA1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not 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 $2,011.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care107$2,037$1,065 – $9,115
Children’s1fewer than 20 hospitals
Critical access73$1,932$1,231 – $3,919
Ownership
For-profit19fewer than 20 hospitals
Government46$2,142$1,337 – $5,034
Non-profit116$1,932$1,118 – $6,538
System affiliation
Part of a system132$2,037$1,118 – $9,115
Independent50$1,850$1,197 – $3,397

Cash price vs list price

Median list price (chargemaster)$2,898
Median cash price$2,011
Cash as a share of list, median hospital68%

At the typical hospital, asking for the cash price cuts the list price by about 32%. 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

113 hospitals filed a usable inpatient cash price for this code. The median is $1,588 and the average of the middle 60% is $2,341; most fall between $1,091 and $6,538.

Cash price percentiles, inpatient, across 113 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
$1,021$1,118$1,588$2,920$9,115

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,021 vs $9,115).

Of the 133 hospitals that filed this code inpatient, 113 gave a usable cash price; 10 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

182 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 221 hospitals that filed this code at all gave us
Usable cash price — counted182
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code221

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as All Outpatient.

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 hernia at an old surgical scar (CPT 49654) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49654-keyhole-repair-of-a-hernia-at-an-old-surgical-scar