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Procedure price report · Other hernia repair

Unlisted keyhole hernia repair procedure

CPT 49659the billing code this page is about

Used for a laparoscopic hernia repair operation that has no specific billing code of its own; the operative report describes what was done.

Hospitals typically charge $4,350 cash for this outpatient procedure — the median across 559 hospitals that filed a usable cash price; the average of the middle 60% is $4,596. Most fall between $1,059 and $9,188 (20th–80th percentile).

Hospitals
559
States
48
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 559 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
$750$1,280$4,350$8,400$17,955

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($750 vs $17,955).

How the prices are spread

$651 – $953: 60 hospitals$651$953 – $1,395: 61 hospitals$1,395 – $2,043: 39 hospitals$1,395$2,043 – $2,990: 44 hospitals$2,990 – $4,377: 52 hospitals$2,990$4,377 – $6,406: 69 hospitals$6,406 – $9,378: 99 hospitals$6,406$9,378 – $13,727: 29 hospitals$13,727 – $20,094: 29 hospitals$13,727$20,094 – $29,413: 23 hospitals$20,094median $4,350price bands are equal on a log scale
Hospitals per price band (505 of 559 — the bands cover the 5th to 95th percentile)
FromToHospitals
$651$95360
$953$1,39561
$1,395$2,04339
$2,043$2,99044
$2,990$4,37752
$4,377$6,40669
$6,406$9,37899
$9,378$13,72729
$13,727$20,09429
$20,094$29,41323

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,350
Cash as a multiple of Medicare0.70×

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 $4,350.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,050 across 16 hospitalsWA$1,050Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,313 across 25 hospitalsMN$2,313Illinois: median $1,971 across 23 hospitalsIL$1,971Wisconsin: median $4,294 across 21 hospitalsWI$4,294Michigan: median $8,313 across 18 hospitalsMI$8,313New York: median $6,904 across 46 hospitalsNY$6,904Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,334 across 19 hospitalsOR$2,334Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,262 across 29 hospitalsIA$1,262Indiana: median $730 across 11 hospitalsIN$730Ohio: median $6,350 across 13 hospitalsOH$6,350Pennsylvania: median $9,864 across 13 hospitalsPA$9,864New Jersey: median $6,458 across 31 hospitalsNJ$6,458Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,601 across 42 hospitalsCA$3,601Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,037 across 10 hospitalsCO$1,037Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $11,360 across 15 hospitalsMO$11,360Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,184 across 15 hospitalsWV$2,184Virginia: median $8,453 across 10 hospitalsVA$8,453Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,372 across 11 hospitalsKS$1,372Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 5 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,329 across 10 hospitalsAL$4,329Georgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,697 across 41 hospitalsTX$5,697Florida: median $5,856 across 12 hospitalsFL$5,856
Cash price by state, most expensive first. National median $4,350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Missouri MO15$11,360+161%$1,185 – $17,730
Pennsylvania PA13$9,864+127%$5,947 – $12,296
Virginia VA10$8,453+94%$365 – $16,377
Michigan MI18$8,313+91%$806 – $26,013
New York NY46$6,904+59%$1,114 – $9,188
New Jersey NJ31$6,458+48%$5,110 – $7,785
Ohio OH13$6,350+46%$813 – $22,627
Florida FL12$5,856+35%$1,985 – $15,321
Texas TX41$5,697+31%$4,547 – $6,866
Alabama AL10$4,3290%$1,206 – $20,184
Wisconsin WI21$4,294−1%$3,006 – $8,874
California CA42$3,601−17%$2,280 – $10,028
Oregon OR19$2,334−46%$675 – $2,868
Minnesota MN25$2,313−47%$562 – $2,879
West Virginia WV15$2,184−50%$1,171 – $9,068
Illinois IL23$1,971−55%$730 – $41,006
Kansas KS11$1,372−68%$828 – $2,554
Iowa IA29$1,262−71%$989 – $2,783
Washington WA16$1,050−76%$798 – $34,731
Colorado CO10$1,037−76%$980 – $3,360
Indiana IN11$730−83%$730 – $30,490
Louisiana LA8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Oklahoma OK5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not 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 $4,350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care421$5,697$1,220 – $11,824
Children’s4fewer than 20 hospitals
Critical access134$1,809$935 – $4,294
Ownership
For-profit60$7,022$1,458 – $17,443
Government104$2,155$980 – $7,156
Non-profit395$4,329$1,059 – $9,188
System affiliation
Part of a system424$4,818$1,092 – $9,285
Independent135$2,210$1,038 – $8,273

Cash price vs list price

Median list price (chargemaster)$4,413
Median cash price$4,350
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

229 hospitals filed a usable inpatient cash price for this code. The median is $1,859 and the average of the middle 60% is $2,701; most fall between $750 and $5,697.

Cash price percentiles, inpatient, across 229 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
$466$900$1,859$4,652$7,489

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($466 vs $7,489).

Of the 275 hospitals that filed this code inpatient, 229 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

559 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 634 hospitals that filed this code at all gave us
Usable cash price — counted559
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded19
Hospitals that filed this code634

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 PR Lap Repair Congenital Diaphragmatic Hernia C/T 39541.

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, “Unlisted keyhole hernia repair procedure (CPT 49659) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49659-unlisted-keyhole-hernia-repair-procedure