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Inguinal hernia repair in New York: what insurers pay

Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.

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CPT 49505

HospitalMedian across insurers× MedicareInsurersFile date
Elmhurst Hospital Center Elmhurst$4,1230.9×62026-09-05
South Brooklyn Health Brooklyn$4,1230.9×62026-09-05
Jacobi Medical Center Bronx$4,1260.9×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$4,1280.9×62026-09-05
Montefiore Medical Center Bronx$6,3531.4×82026-04-01
Maimonides Medical Center Brooklyn$6,6341.5×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$11,0802.5×72026-01-01
Hospital for Special Surgery New York$12,2112.7×62026-04-01

CPT 49650

HospitalMedian across insurers× MedicareInsurersFile date
Elmhurst Hospital Center Elmhurst$5,1780.7×62026-09-05
South Brooklyn Health Brooklyn$5,2040.7×62026-09-05
Jacobi Medical Center Bronx$5,2140.7×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$5,2160.7×62026-09-05
Maimonides Medical Center Brooklyn$7,9451.1×52026-04-01
Stony Brook University Hospital Stony Brook$9,1231.2×52026-06-10
Montefiore Medical Center Bronx$9,8561.3×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$14,6181.9×72026-01-01

CPT 49651

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$9,1231.2×52026-06-10
Montefiore Medical Center Bronx$11,4461.5×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$15,8782.1×72026-01-01

Questions

How much do insurers pay for inguinal hernia repair in New York?

9 New York hospitals post usable commercial rates for inguinal hernia repair in their federal price-transparency files. For CPT 49505, hospital outpatient, the median across 8 hospitals is $5,241, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.