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Procedure price report

Keyhole repair of a returning scar hernia, trapped

CPT 49657the billing code this page is about

Laparoscopic repair of a recurrent incisional or ventral hernia in which tissue is stuck or its blood supply is pinched.

Hospitals typically charge $2,823 cash for this outpatient procedure — the median across 132 hospitals that filed a usable cash price; the average of the middle 60% is $3,372. Most fall between $1,596 and $9,722 (20th–80th percentile).

Hospitals
132
States
31
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 132 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
$1,364$1,596$2,823$6,598$11,092

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($1,364 vs $11,092).

How the prices are spread

$1,164 – $1,563: 20 hospitals$1,164$1,563 – $2,099: 17 hospitals$2,099 – $2,819: 22 hospitals$2,099$2,819 – $3,784: 18 hospitals$3,784 – $5,081: 14 hospitals$3,784$5,081 – $6,823: 3 hospitals$6,823 – $9,161: 5 hospitals$6,823$9,161 – $12,300: 16 hospitals$12,300 – $16,516: 0 hospitals$12,300$16,516 – $22,176: 5 hospitals$16,516median $2,823price bands are equal on a log scale
Hospitals per price band (120 of 132 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,164$1,56320
$1,563$2,09917
$2,099$2,81922
$2,819$3,78418
$3,784$5,08114
$5,081$6,8233
$6,823$9,1615
$9,161$12,30016
$12,300$16,5160
$16,516$22,1765

By state

The median cash price in each state, against the national median of $2,823.

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: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,486 across 10 hospitalsIL$2,486Wisconsin: 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: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 2 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 2 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: 2 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,596 across 10 hospitalsOK$1,596Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $9,770 across 17 hospitalsTX$9,770Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,823. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX17$9,770+246%$9,770 – $11,092
Illinois IL10$2,486−12%$1,364 – $6,006
Oklahoma OK10$1,596−43%$1,596 – $1,596
New York NY9not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
California CA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Ohio OH2not enough hospitals filed a usable price
Pennsylvania PA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Washington WA1not 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 $2,823.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care87$2,724$1,596 – $11,092
Children’s1fewer than 20 hospitals
Critical access43$2,848$1,364 – $5,078
Ownership
For-profit15fewer than 20 hospitals
Government28$2,823$1,607 – $9,722
Non-profit88$2,848$1,596 – $8,764
System affiliation
Part of a system92$2,577$1,596 – $9,770
Independent40$2,830$1,500 – $4,430

Cash price vs list price

Median list price (chargemaster)$3,896
Median cash price$2,823
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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.

How complete is this

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

What the 161 hospitals that filed this code at all gave us
Usable cash price — counted132
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded13
Hospitals that filed this code161

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 23, 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 returning scar hernia, trapped (CPT 49657) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49657-keyhole-repair-of-a-returning-scar-hernia-trapped