Price AtlasInteractive atlas · All states · techysurgeon.comUmbilical or small abdominal wall hernia repair: what insurers pay
Repair of an abdominal wall hernia under 3 cm (the codes that replaced umbilical/ventral hernia codes in 2023): reducible (49591) or incarcerated (49592). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 49591: Umbilical Or Small Abdominal Wall Hernia Repair
1170 hospitals in 82 markets. National Medicare rate $3,658, surgery center $1,744.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 12 | $3,977 | $5,652 | $6,474 | $3,054–$8,109 |
| Alaska (statewide) | 3 | — | — | — | $5,320–$16,892 |
| Arizona (statewide) | 12 | $4,580 | $5,726 | $6,436 | $2,371–$14,869 |
| Arkansas (statewide) | 12 | $3,334 | $3,755 | $4,543 | $2,503–$7,500 |
| Atlanta GA | 6 | $6,689 | $6,689 | $8,008 | $6,689–$8,448 |
| Austin TX | 13 | $3,400 | $5,584 | $5,584 | $3,400–$6,378 |
| Boston MA | 13 | $4,858 | $6,219 | $6,650 | $3,935–$7,996 |
| California (statewide) | 69 | $5,194 | $7,483 | $13,355 | $2,892–$18,367 |
| Charlotte NC | 5 | $4,196 | $4,196 | $4,196 | $4,138–$4,196 |
| Chicago IL | 8 | $5,782 | $6,731 | $9,545 | $4,035–$10,219 |
| Cleveland OH | 10 | $5,232 | $6,554 | $6,998 | $3,884–$7,821 |
| Colorado (statewide) | 15 | $4,936 | $6,894 | $7,884 | $3,542–$12,400 |
| Columbus OH | 2 | — | — | — | $12,878–$23,883 |
| Connecticut (statewide) | 2 | — | — | — | $6,002–$25,188 |
| Dallas-Fort Worth TX | 13 | $6,600 | $8,324 | $9,032 | $6,600–$16,096 |
| Delaware (statewide) | 1 | — | — | — | $9,730–$9,730 |
| Denver CO | 15 | $4,843 | $7,122 | $7,492 | $4,248–$11,080 |
| Detroit MI | 14 | $3,266 | $3,648 | $3,648 | $2,725–$5,500 |
| Florida (statewide) | 66 | $4,608 | $7,480 | $8,848 | $2,992–$28,358 |
| Georgia (statewide) | 31 | $5,006 | $6,761 | $8,448 | $2,266–$18,982 |
| Hawaii (statewide) | 6 | $4,920 | $5,397 | $6,598 | $4,771–$8,080 |
| Houston TX | 15 | $5,814 | $6,834 | $7,294 | $5,780–$8,724 |
| Idaho (statewide) | 16 | $4,640 | $7,594 | $8,964 | $2,009–$13,796 |
| Illinois (statewide) | 29 | $4,868 | $6,974 | $9,261 | $3,568–$10,596 |
| Indiana (statewide) | 36 | $6,854 | $11,174 | $14,043 | $2,049–$22,582 |
| Indianapolis IN | 2 | — | — | — | $14,894–$16,068 |
| Iowa (statewide) | 22 | $3,855 | $5,796 | $7,624 | $2,383–$10,865 |
| Kansas (statewide) | 21 | $4,530 | $5,006 | $6,141 | $2,444–$16,892 |
| Kentucky (statewide) | 10 | $3,396 | $4,384 | $5,566 | $2,278–$7,033 |
| Las Vegas NV | 2 | — | — | — | $3,141–$3,443 |
| Los Angeles CA | 17 | $6,592 | $8,212 | $9,358 | $4,893–$19,724 |
| Louisiana (statewide) | 21 | $3,359 | $4,466 | $5,448 | $2,408–$9,562 |
| Maine (statewide) | 17 | $14,460 | $16,236 | $16,788 | $3,792–$21,107 |
| Maryland (statewide) | 1 | — | — | — | $8,970–$8,970 |
| Massachusetts (statewide) | 5 | $3,935 | $3,995 | $5,474 | $3,935–$5,611 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,527–$8,346 |
| Michigan (statewide) | 27 | $3,275 | $3,809 | $4,390 | $2,002–$5,527 |
| Minneapolis-St. Paul MN | 8 | $5,181 | $5,234 | $6,308 | $3,802–$6,653 |
| Minnesota (statewide) | 11 | $6,607 | $9,372 | $10,935 | $4,902–$12,791 |
| Mississippi (statewide) | 21 | $4,736 | $5,304 | $5,696 | $2,689–$9,764 |
| Missouri (statewide) | 24 | $4,848 | $5,225 | $7,241 | $2,394–$21,372 |
| Montana (statewide) | 6 | $7,583 | $9,170 | $11,228 | $7,058–$17,364 |
| Nashville TN | 7 | $5,493 | $5,768 | $6,314 | $3,942–$7,274 |
| Nebraska (statewide) | 7 | $4,447 | $7,120 | $8,908 | $3,443–$10,214 |
| Nevada (statewide) | 6 | $3,100 | $5,129 | $7,108 | $2,986–$8,363 |
| New Hampshire (statewide) | 6 | $11,353 | $13,246 | $15,335 | $5,441–$16,033 |
| New Jersey (statewide) | 23 | $5,810 | $7,338 | $9,773 | $3,856–$13,630 |
| New Mexico (statewide) | 10 | $4,716 | $9,690 | $13,751 | $3,724–$24,439 |
| New York (statewide) | 34 | $3,751 | $5,175 | $7,785 | $2,369–$16,004 |
| New York City | 8 | $3,604 | $3,929 | $8,320 | $3,579–$13,586 |
| North Carolina (statewide) | 6 | $7,786 | $8,464 | $8,786 | $5,102–$9,492 |
| North Dakota (statewide) | 3 | — | — | — | $6,109–$7,905 |
| Ohio (statewide) | 39 | $5,856 | $7,926 | $11,150 | $3,410–$14,960 |
| Oklahoma (statewide) | 12 | $3,658 | $7,008 | $8,097 | $2,495–$13,630 |
| Oregon (statewide) | 11 | $8,539 | $10,622 | $12,637 | $3,325–$19,979 |
| Pennsylvania (statewide) | 46 | $4,223 | $7,202 | $11,904 | $1,850–$16,470 |
| Philadelphia PA | 11 | $5,673 | $5,898 | $7,964 | $5,372–$13,320 |
| Phoenix AZ | 6 | $4,745 | $4,839 | $4,839 | $4,714–$4,839 |
| Pittsburgh PA | 12 | $2,419 | $4,088 | $7,220 | $2,345–$8,882 |
| Portland OR | 9 | $13,746 | $13,746 | $21,931 | $13,290–$21,931 |
| Research Triangle NC | 1 | — | — | — | $3,270–$3,270 |
| Rhode Island (statewide) | 4 | — | — | — | $4,807–$12,989 |
| Richmond VA | 3 | — | — | — | $9,000–$9,000 |
| Rio Grande Valley TX | 6 | $4,799 | $4,978 | $5,668 | $4,653–$5,849 |
| Salt Lake City UT | 9 | $3,866 | $3,986 | $3,986 | $3,150–$4,105 |
| San Antonio TX | 3 | — | — | — | $4,520–$6,768 |
| San Diego CA | 7 | $7,994 | $8,059 | $8,059 | $6,585–$8,492 |
| San Francisco Bay Area CA | 6 | $8,580 | $9,973 | $11,346 | $7,323–$22,517 |
| Seattle-Tacoma WA | 11 | $9,450 | $9,972 | $10,486 | $8,466–$12,478 |
| South Carolina (statewide) | 19 | $10,597 | $13,246 | $16,223 | $3,785–$20,079 |
| South Dakota (statewide) | 3 | — | — | — | $4,300–$20,747 |
| St. Louis MO | 4 | — | — | — | $7,988–$8,069 |
| Tampa FL | 6 | $7,456 | $7,456 | $7,456 | $6,490–$15,523 |
| Tennessee (statewide) | 27 | $3,395 | $4,080 | $5,267 | $2,278–$7,199 |
| Texas (statewide) | 74 | $4,464 | $6,600 | $8,324 | $2,104–$20,580 |
| Utah (statewide) | 7 | $3,277 | $3,866 | $3,926 | $3,150–$13,495 |
| Vermont (statewide) | 1 | — | — | — | $6,563–$6,563 |
| Virginia (statewide) | 20 | $9,692 | $11,541 | $14,114 | $7,727–$15,290 |
| Washington (statewide) | 9 | $8,830 | $9,806 | $11,207 | $3,763–$20,751 |
| Washington DC | 9 | $6,507 | $6,895 | $6,895 | $6,100–$6,895 |
| West Virginia (statewide) | 8 | $5,723 | $8,834 | $12,338 | $3,917–$23,836 |
| Wisconsin (statewide) | 36 | $6,931 | $10,148 | $10,492 | $3,543–$13,546 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Upmc Cole | Pennsylvania (statewide) | $1,850 | 0.5× | 1 | 2026-03-06 |
| Oaklawn Hospital | Michigan (statewide) | $2,002 | 0.6× | 2 | 2026-03-27 |
| Weiser Memorial Hospital | Idaho (statewide) | $2,009 | 0.6× | 5 | 2026-08-18 |
| Pinnacle Hospital | Indiana (statewide) | $2,049 | 0.5× | 1 | 2026-03-09 |
| Ennis Regional Medical Center | Texas (statewide) | $2,104 | 0.6× | 1 | 2026-04-01 |
| Morgan Medical Center | Georgia (statewide) | $2,266 | 0.6× | 3 | 2026-07-28 |
| Jackson Purchase Medical Center | Kentucky (statewide) | $2,278 | 0.7× | 1 | 2026-07-10 |
| Southern Tennessee Regional Health System Pulaski | Tennessee (statewide) | $2,278 | 0.7× | 1 | 2026-07-14 |
| Starr Regional Medical Center Athens | Tennessee (statewide) | $2,278 | 0.7× | 1 | 2026-07-10 |
| Southern Tennessee Regional Health System Lawrence | Tennessee (statewide) | $2,278 | 0.7× | 1 | 2026-07-14 |
| Upmc Mercy | Pittsburgh PA | $2,345 | 0.7× | 1 | 2026-03-06 |
| Upmc Passavant | Pittsburgh PA | $2,364 | 0.7× | 1 | 2026-03-07 |
| Providence St Vincent Medical Center | Portland OR | $21,931 | 5.5× | 3 | 2026-04-01 |
| Providence Willamette Falls Medical Center | Portland OR | $21,931 | 5.5× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $21,931 | 5.5× | 3 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $21,931 | 5.5× | 3 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $22,517 | 4.3× | 4 | 2026-04-01 |
| Saint Joseph Regional Medical Center | Indiana (statewide) | $22,582 | 6.0× | 25 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $23,836 | 6.9× | 1 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $23,883 | 6.9× | 24 | 2026-03-31 |
| Memorial Medical Center | New Mexico (statewide) | $24,439 | 6.9× | 1 | 2026-07-10 |
| Saint Francis Hospital & Medical Center | Connecticut (statewide) | $25,188 | 5.8× | 19 | 2026-03-31 |
| Ascension Sacred Heart Bay | Florida (statewide) | $28,358 | 7.6× | 1 | 2026-01-01 |
| Ascension Sacred Heart Gulf | Florida (statewide) | $28,358 | 7.6× | 1 | 2026-01-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 49592: Umbilical Or Small Abdominal Wall Hernia Repair
1136 hospitals in 81 markets. National Medicare rate $6,176, surgery center $3,031.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $5,878 | $6,667 | $7,811 | $2,986–$10,727 |
| Alaska (statewide) | 3 | — | — | — | $8,982–$24,202 |
| Arizona (statewide) | 11 | $7,228 | $9,132 | $13,788 | $3,770–$18,978 |
| Arkansas (statewide) | 11 | $5,521 | $5,681 | $6,636 | $5,000–$8,064 |
| Atlanta GA | 6 | $7,797 | $7,797 | $13,219 | $7,797–$15,026 |
| Austin TX | 13 | $5,004 | $9,282 | $9,299 | $5,004–$9,618 |
| Boston MA | 13 | $6,605 | $8,118 | $8,708 | $5,790–$9,942 |
| California (statewide) | 65 | $8,492 | $13,409 | $22,078 | $4,474–$31,014 |
| Charlotte NC | 5 | $6,936 | $6,936 | $6,936 | $6,842–$6,936 |
| Chicago IL | 9 | $8,382 | $9,330 | $14,716 | $8,176–$16,105 |
| Cleveland OH | 10 | $7,560 | $9,419 | $9,834 | $6,291–$11,049 |
| Colorado (statewide) | 14 | $9,000 | $10,230 | $13,072 | $5,212–$14,132 |
| Columbus OH | 2 | — | — | — | $21,745–$23,883 |
| Connecticut (statewide) | 2 | — | — | — | $6,002–$25,188 |
| Dallas-Fort Worth TX | 12 | $9,960 | $12,471 | $14,494 | $9,880–$25,008 |
| Denver CO | 15 | $9,265 | $9,756 | $10,638 | $8,380–$16,294 |
| Detroit MI | 13 | $5,369 | $5,369 | $5,416 | $4,087–$7,434 |
| Florida (statewide) | 62 | $6,511 | $8,714 | $12,975 | $3,327–$28,358 |
| Georgia (statewide) | 31 | $7,226 | $9,172 | $15,026 | $3,858–$25,118 |
| Hawaii (statewide) | 7 | $7,435 | $8,257 | $8,916 | $7,232–$10,729 |
| Houston TX | 15 | $8,214 | $10,133 | $10,383 | $7,650–$11,539 |
| Idaho (statewide) | 15 | $5,936 | $13,373 | $14,876 | $4,277–$19,856 |
| Illinois (statewide) | 29 | $7,055 | $10,292 | $13,871 | $5,580–$17,333 |
| Indiana (statewide) | 37 | $10,791 | $13,474 | $22,582 | $4,013–$35,006 |
| Indianapolis IN | 2 | — | — | — | $25,148–$27,131 |
| Iowa (statewide) | 17 | $7,030 | $9,948 | $11,756 | $6,176–$14,329 |
| Kansas (statewide) | 17 | $6,928 | $7,338 | $9,670 | $3,919–$24,202 |
| Kentucky (statewide) | 9 | $7,086 | $7,601 | $9,252 | $3,120–$10,420 |
| Las Vegas NV | 2 | — | — | — | $4,762–$5,346 |
| Los Angeles CA | 17 | $10,712 | $11,484 | $14,377 | $10,108–$28,632 |
| Louisiana (statewide) | 21 | $6,029 | $6,992 | $8,874 | $5,303–$15,407 |
| Maine (statewide) | 17 | $23,906 | $26,842 | $27,754 | $6,402–$34,895 |
| Maryland (statewide) | 1 | — | — | — | $5,517–$5,517 |
| Massachusetts (statewide) | 5 | $5,790 | $5,798 | $7,400 | $5,790–$8,257 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $10,893–$10,893 |
| Michigan (statewide) | 30 | $4,810 | $6,024 | $6,562 | $3,031–$9,049 |
| Minneapolis-St. Paul MN | 8 | $8,828 | $8,918 | $10,985 | $6,257–$12,558 |
| Minnesota (statewide) | 11 | $11,674 | $15,494 | $18,214 | $8,918–$21,332 |
| Mississippi (statewide) | 21 | $6,337 | $7,829 | $8,424 | $4,013–$16,488 |
| Missouri (statewide) | 25 | $8,107 | $9,107 | $11,205 | $3,523–$23,158 |
| Montana (statewide) | 5 | $12,252 | $13,676 | $17,007 | $11,669–$20,536 |
| Nashville TN | 7 | $5,768 | $5,768 | $8,508 | $5,597–$12,026 |
| Nebraska (statewide) | 3 | — | — | — | $5,346–$10,398 |
| Nevada (statewide) | 6 | $5,201 | $8,427 | $12,001 | $5,153–$14,121 |
| New Hampshire (statewide) | 6 | $15,840 | $19,252 | $21,724 | $7,121–$27,072 |
| New Jersey (statewide) | 23 | $7,140 | $8,852 | $11,845 | $6,375–$19,167 |
| New Mexico (statewide) | 11 | $9,560 | $13,842 | $24,764 | $6,157–$42,010 |
| New York (statewide) | 33 | $5,632 | $7,650 | $12,969 | $4,677–$19,890 |
| New York City | 7 | $4,677 | $4,677 | $10,831 | $4,677–$16,203 |
| North Carolina (statewide) | 5 | $12,296 | $13,195 | $14,974 | $7,039–$16,028 |
| North Dakota (statewide) | 3 | — | — | — | $10,189–$13,183 |
| Ohio (statewide) | 36 | $9,659 | $14,130 | $18,738 | $4,283–$23,237 |
| Oklahoma (statewide) | 11 | $6,176 | $12,229 | $13,819 | $5,734–$15,638 |
| Oregon (statewide) | 11 | $14,259 | $16,322 | $19,400 | $5,614–$33,735 |
| Pennsylvania (statewide) | 45 | $7,510 | $12,311 | $20,202 | $3,220–$27,810 |
| Philadelphia PA | 11 | $5,869 | $8,162 | $10,143 | $5,567–$13,449 |
| Phoenix AZ | 6 | $7,053 | $7,053 | $7,424 | $7,053–$7,547 |
| Pittsburgh PA | 8 | $8,878 | $11,212 | $12,348 | $5,079–$14,684 |
| Portland OR | 9 | $17,690 | $17,690 | $25,081 | $15,718–$25,081 |
| Research Triangle NC | 1 | — | — | — | $4,932–$4,932 |
| Rhode Island (statewide) | 4 | — | — | — | $6,688–$17,322 |
| Richmond VA | 3 | — | — | — | $11,102–$11,102 |
| Rio Grande Valley TX | 6 | $7,932 | $8,301 | $8,694 | $7,856–$8,778 |
| Salt Lake City UT | 9 | $5,253 | $5,284 | $5,284 | $4,754–$5,926 |
| San Antonio TX | 3 | — | — | — | $7,122–$9,545 |
| San Diego CA | 7 | $13,218 | $13,218 | $13,304 | $10,886–$14,338 |
| San Francisco Bay Area CA | 6 | $10,374 | $11,129 | $12,760 | $10,217–$29,119 |
| Seattle-Tacoma WA | 11 | $15,309 | $18,403 | $21,556 | $13,214–$24,132 |
| South Carolina (statewide) | 19 | $10,710 | $16,223 | $19,496 | $6,314–$34,118 |
| South Dakota (statewide) | 3 | — | — | — | $7,172–$30,529 |
| St. Louis MO | 4 | — | — | — | $5,697–$8,654 |
| Tampa FL | 6 | $12,975 | $12,975 | $12,975 | $11,995–$15,523 |
| Tennessee (statewide) | 24 | $5,766 | $6,168 | $7,565 | $3,794–$11,902 |
| Texas (statewide) | 75 | $6,200 | $9,648 | $12,144 | $3,300–$29,489 |
| Utah (statewide) | 7 | $4,932 | $5,253 | $5,268 | $4,642–$19,858 |
| Vermont (statewide) | 1 | — | — | — | $6,784–$6,784 |
| Virginia (statewide) | 20 | $16,207 | $17,979 | $22,599 | $11,640–$24,590 |
| Washington (statewide) | 9 | $14,728 | $17,084 | $18,924 | $6,221–$30,494 |
| Washington DC | 9 | $11,070 | $11,070 | $11,070 | $8,108–$11,120 |
| West Virginia (statewide) | 8 | $9,663 | $10,140 | $20,644 | $6,476–$40,248 |
| Wisconsin (statewide) | 37 | $10,062 | $12,996 | $13,397 | $5,983–$19,118 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $2,986 | 0.6× | 1 | 2026-04-30 |
| Holland Hospital | Michigan (statewide) | $3,031 | 0.5× | 2 | 2026-09-21 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $3,031 | 0.5× | 1 | 2026-09-02 |
| Norton Hospital | Kentucky (statewide) | $3,120 | 0.5× | 1 | 2026-02-11 |
| St Mary Medical Center | Pennsylvania (statewide) | $3,220 | 0.6× | 19 | 2026-03-31 |
| Peterson Regional Medical Center | Texas (statewide) | $3,300 | 0.5× | 1 | 2026-08-17 |
| Uf Health Leesburg Hospital | Florida (statewide) | $3,327 | 0.5× | 1 | 2026-03-31 |
| Ennis Regional Medical Center | Texas (statewide) | $3,348 | 0.6× | 1 | 2026-04-01 |
| Oaklawn Hospital | Michigan (statewide) | $3,380 | 0.6× | 2 | 2026-03-27 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.6× | 1 | 2026-04-30 |
| Nazareth Hospital | Pennsylvania (statewide) | $3,515 | 0.6× | 18 | 2026-03-31 |
| Lafayette Regional Health Center | Missouri (statewide) | $3,523 | 0.6× | 3 | 2026-09-01 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $30,529 | 4.9× | 2 | 2026-09-10 |
| Mission Community Hospital | California (statewide) | $31,014 | 4.0× | 1 | 2026-09-01 |
| Parkview Whitley Hospital | Indiana (statewide) | $31,082 | 4.9× | 1 | 2026-09-01 |
| Parkview Noble Hospital | Indiana (statewide) | $32,884 | 5.1× | 1 | 2026-09-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $33,096 | 5.2× | 1 | 2026-09-01 |
| Providence Medford Medical Center | Oregon (statewide) | $33,735 | 4.8× | 1 | 2026-04-01 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 6.1× | 1 | 2026-07-20 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $34,895 | 5.9× | 1 | 2025-09-09 |
| Parkview Huntington Hospital | Indiana (statewide) | $35,006 | 5.5× | 1 | 2026-09-01 |
| Memorial Medical Center | New Mexico (statewide) | $35,964 | 6.0× | 1 | 2026-07-10 |
| Logan Regional Medical Center | West Virginia (statewide) | $40,248 | 6.9× | 1 | 2026-04-01 |
| Los Alamos Medical Center | New Mexico (statewide) | $42,010 | 7.0× | 1 | 2026-07-10 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 355: Hernia Procedures Except Inguinal and Femoral Without Cc/McC
1474 hospitals in 83 markets. National Medicare rate $9,787.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $11,456 | $13,506 | $15,888 | $9,012–$31,743 |
| Alaska (statewide) | 4 | — | — | — | $12,003–$44,079 |
| Arizona (statewide) | 27 | $16,236 | $22,890 | $26,072 | $10,588–$30,508 |
| Arkansas (statewide) | 10 | $11,704 | $12,741 | $13,820 | $10,271–$15,790 |
| Atlanta GA | 10 | $24,057 | $25,738 | $26,572 | $24,057–$39,247 |
| Austin TX | 13 | $8,484 | $12,013 | $14,790 | $7,606–$16,630 |
| Boston MA | 13 | $11,467 | $12,441 | $14,338 | $9,538–$22,464 |
| California (statewide) | 53 | $15,540 | $19,102 | $24,422 | $8,452–$95,899 |
| Charlotte NC | 8 | $20,300 | $21,984 | $26,293 | $15,088–$26,293 |
| Chicago IL | 10 | $16,625 | $19,171 | $22,052 | $12,661–$25,017 |
| Cleveland OH | 11 | $16,656 | $17,944 | $18,516 | $13,948–$23,886 |
| Colorado (statewide) | 16 | $17,667 | $25,664 | $31,101 | $8,241–$42,288 |
| Columbus OH | 2 | — | — | — | $27,338–$36,042 |
| Connecticut (statewide) | 6 | $24,768 | $25,110 | $25,580 | $16,238–$28,468 |
| Dallas-Fort Worth TX | 15 | $13,636 | $14,452 | $17,862 | $12,038–$29,988 |
| Delaware (statewide) | 1 | — | — | — | $29,771–$29,771 |
| Denver CO | 15 | $15,002 | $17,552 | $26,715 | $11,388–$35,186 |
| Detroit MI | 16 | $18,424 | $18,840 | $27,424 | $14,023–$35,915 |
| Florida (statewide) | 90 | $13,132 | $14,710 | $26,949 | $9,952–$40,400 |
| Georgia (statewide) | 44 | $18,688 | $26,457 | $30,142 | $11,348–$39,247 |
| Hawaii (statewide) | 11 | $23,606 | $23,607 | $30,502 | $20,602–$40,970 |
| Houston TX | 19 | $13,844 | $17,891 | $21,335 | $12,938–$34,554 |
| Idaho (statewide) | 11 | $17,256 | $22,036 | $24,684 | $13,580–$27,617 |
| Illinois (statewide) | 41 | $12,644 | $14,814 | $20,119 | $9,053–$50,301 |
| Indiana (statewide) | 49 | $14,732 | $18,860 | $22,600 | $8,480–$29,402 |
| Indianapolis IN | 5 | $14,732 | $15,000 | $24,620 | $13,700–$30,490 |
| Iowa (statewide) | 18 | $12,705 | $15,007 | $18,576 | $11,329–$22,745 |
| Kansas (statewide) | 22 | $11,781 | $14,371 | $17,418 | $5,692–$44,079 |
| Kentucky (statewide) | 29 | $11,910 | $13,426 | $17,357 | $8,108–$30,750 |
| Las Vegas NV | 1 | — | — | — | $21,839–$21,839 |
| Los Angeles CA | 18 | $22,514 | $24,355 | $25,432 | $17,988–$31,032 |
| Louisiana (statewide) | 23 | $10,379 | $12,170 | $13,654 | $8,515–$17,940 |
| Maine (statewide) | 13 | $27,060 | $36,474 | $40,667 | $10,370–$40,667 |
| Maryland (statewide) | 1 | — | — | — | $14,126–$14,126 |
| Massachusetts (statewide) | 7 | $11,512 | $15,890 | $18,357 | $8,884–$20,369 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $13,937–$22,940 |
| Michigan (statewide) | 37 | $16,118 | $18,076 | $22,906 | $10,412–$31,783 |
| Minneapolis-St. Paul MN | 15 | $20,116 | $22,790 | $22,895 | $14,396–$25,371 |
| Minnesota (statewide) | 21 | $16,976 | $17,163 | $22,595 | $7,384–$28,267 |
| Mississippi (statewide) | 17 | $14,312 | $14,670 | $15,750 | $10,399–$22,283 |
| Missouri (statewide) | 26 | $13,306 | $15,049 | $17,163 | $9,799–$26,805 |
| Montana (statewide) | 7 | $16,166 | $22,500 | $27,719 | $6,364–$46,362 |
| Nashville TN | 8 | $12,153 | $13,249 | $17,164 | $11,630–$25,597 |
| Nebraska (statewide) | 15 | $22,344 | $23,788 | $27,508 | $15,608–$32,123 |
| Nevada (statewide) | 6 | $15,658 | $18,491 | $24,691 | $8,889–$26,712 |
| New Hampshire (statewide) | 8 | $16,589 | $18,005 | $22,390 | $13,310–$31,634 |
| New Jersey (statewide) | 21 | $22,986 | $26,118 | $30,657 | $12,751–$39,980 |
| New Mexico (statewide) | 10 | $11,421 | $15,916 | $21,207 | $9,112–$40,143 |
| New York (statewide) | 48 | $15,462 | $17,982 | $24,360 | $9,758–$42,747 |
| New York City | 8 | $24,564 | $25,566 | $29,856 | $11,880–$41,412 |
| North Carolina (statewide) | 32 | $12,366 | $14,957 | $26,293 | $8,245–$35,759 |
| North Dakota (statewide) | 7 | $16,602 | $17,362 | $18,176 | $13,771–$24,070 |
| Ohio (statewide) | 49 | $13,822 | $20,202 | $23,960 | $8,640–$35,721 |
| Oklahoma (statewide) | 16 | $10,761 | $13,877 | $15,755 | $8,300–$24,758 |
| Oregon (statewide) | 10 | $22,312 | $25,469 | $28,108 | $13,974–$35,721 |
| Pennsylvania (statewide) | 59 | $16,174 | $20,294 | $23,492 | $10,430–$38,266 |
| Philadelphia PA | 11 | $22,960 | $24,672 | $27,917 | $22,262–$39,980 |
| Phoenix AZ | 11 | $22,058 | $22,058 | $23,504 | $21,175–$25,264 |
| Pittsburgh PA | 7 | $17,210 | $18,222 | $20,436 | $14,102–$23,710 |
| Portland OR | 9 | $27,769 | $30,060 | $34,711 | $26,812–$34,711 |
| Research Triangle NC | 9 | $13,694 | $16,520 | $17,732 | $11,762–$20,744 |
| Rhode Island (statewide) | 6 | $17,302 | $21,566 | $27,696 | $15,518–$29,123 |
| Richmond VA | 7 | $15,546 | $26,028 | $29,732 | $13,537–$32,361 |
| Rio Grande Valley TX | 6 | $14,904 | $16,214 | $16,422 | $13,975–$20,652 |
| Salt Lake City UT | 9 | $24,025 | $24,025 | $24,025 | $23,786–$24,025 |
| San Antonio TX | 3 | — | — | — | $11,632–$34,706 |
| San Diego CA | 8 | $16,920 | $19,574 | $22,638 | $15,773–$22,717 |
| San Francisco Bay Area CA | 2 | — | — | — | $16,426–$25,044 |
| Seattle-Tacoma WA | 16 | $26,820 | $29,308 | $31,078 | $26,026–$37,829 |
| South Carolina (statewide) | 31 | $23,885 | $26,927 | $31,470 | $11,536–$40,955 |
| South Dakota (statewide) | 4 | — | — | — | $14,795–$21,876 |
| St. Louis MO | 7 | $17,762 | $17,762 | $17,762 | $6,873–$23,545 |
| Tampa FL | 11 | $26,272 | $26,949 | $27,766 | $20,535–$29,831 |
| Tennessee (statewide) | 32 | $11,588 | $13,534 | $15,380 | $10,268–$25,597 |
| Texas (statewide) | 89 | $12,826 | $15,624 | $22,320 | $6,128–$34,661 |
| Utah (statewide) | 5 | $24,025 | $32,544 | $33,861 | $9,866–$33,861 |
| Vermont (statewide) | 3 | — | — | — | $16,668–$36,843 |
| Virginia (statewide) | 25 | $18,534 | $25,331 | $27,726 | $13,653–$44,337 |
| Washington (statewide) | 13 | $22,818 | $25,640 | $28,410 | $11,000–$56,449 |
| Washington DC | 11 | $20,013 | $26,139 | $26,944 | $12,324–$28,320 |
| West Virginia (statewide) | 13 | $9,829 | $10,294 | $25,575 | $8,572–$32,396 |
| Wisconsin (statewide) | 48 | $19,381 | $25,191 | $27,976 | $12,302–$32,351 |
| Wyoming (statewide) | 1 | — | — | — | $30,277–$30,277 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $5,692 | 0.7× | 3 | 2025-12-19 |
| Memorial Medical Center | Texas (statewide) | $6,128 | 0.6× | 1 | 2026-09-14 |
| Mccone County Health Center | Montana (statewide) | $6,364 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $6,873 | 0.7× | 1 | 2026-06-10 |
| Ascension Providence | Texas (statewide) | $7,362 | 0.8× | 4 | 2026-01-01 |
| Peterson Regional Medical Center | Texas (statewide) | $7,383 | 0.8× | 1 | 2026-08-17 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $7,384 | 0.8× | 1 | 2026-01-28 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $7,606 | 0.8× | 2 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $7,606 | 0.8× | 2 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $7,606 | 0.8× | 2 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $7,606 | 0.8× | 2 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $7,606 | 0.8× | 2 | 2026-01-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $41,412 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $42,288 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $42,747 | 3.5× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $44,079 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $44,079 | 4.9× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $44,337 | 4.8× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $46,362 | 4.7× | 1 | 2026-04-01 |
| Taylorville Memorial Hospital | Illinois (statewide) | $50,301 | 4.9× | 1 | 2026-09-17 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $51,664 | 4.1× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $51,761 | 4.1× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $56,449 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $95,899 | 7.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 354: Hernia Procedures Except Inguinal and Femoral With Cc
1488 hospitals in 83 markets. National Medicare rate $12,242.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $14,718 | $16,906 | $19,659 | $11,272–$40,502 |
| Alaska (statewide) | 4 | — | — | — | $14,891–$56,246 |
| Arizona (statewide) | 28 | $20,223 | $29,633 | $34,606 | $8,539–$42,372 |
| Arkansas (statewide) | 11 | $14,700 | $15,678 | $17,247 | $13,105–$19,751 |
| Atlanta GA | 10 | $30,698 | $32,194 | $33,238 | $30,698–$50,082 |
| Austin TX | 13 | $10,612 | $14,584 | $18,056 | $9,063–$23,772 |
| Boston MA | 14 | $14,483 | $15,792 | $20,008 | $11,931–$34,905 |
| California (statewide) | 53 | $19,023 | $23,769 | $30,852 | $10,785–$104,930 |
| Charlotte NC | 8 | $25,900 | $28,050 | $32,889 | $18,873–$32,889 |
| Chicago IL | 10 | $21,102 | $24,462 | $28,010 | $16,156–$31,293 |
| Cleveland OH | 11 | $20,833 | $22,982 | $23,698 | $17,600–$31,704 |
| Colorado (statewide) | 16 | $22,099 | $32,640 | $38,902 | $10,308–$52,896 |
| Columbus OH | 2 | — | — | — | $29,840–$34,196 |
| Connecticut (statewide) | 6 | $24,966 | $28,736 | $32,189 | $16,238–$37,345 |
| Dallas-Fort Worth TX | 15 | $16,405 | $19,030 | $22,053 | $14,794–$38,263 |
| Delaware (statewide) | 2 | — | — | — | $22,757–$35,702 |
| Denver CO | 15 | $19,400 | $21,954 | $33,416 | $14,024–$44,388 |
| Detroit MI | 17 | $23,046 | $23,306 | $32,456 | $17,917–$42,540 |
| Florida (statewide) | 90 | $16,180 | $17,596 | $34,050 | $12,698–$50,534 |
| Georgia (statewide) | 38 | $21,084 | $32,282 | $41,487 | $13,374–$50,082 |
| Hawaii (statewide) | 11 | $31,354 | $31,950 | $39,418 | $27,873–$70,236 |
| Houston TX | 19 | $16,891 | $21,672 | $26,604 | $16,393–$40,399 |
| Idaho (statewide) | 15 | $27,535 | $31,012 | $39,722 | $17,359–$42,530 |
| Illinois (statewide) | 42 | $16,280 | $18,530 | $24,874 | $11,324–$95,016 |
| Indiana (statewide) | 51 | $14,732 | $22,139 | $28,269 | $8,480–$36,777 |
| Indianapolis IN | 6 | $14,799 | $22,898 | $36,302 | $13,700–$38,138 |
| Iowa (statewide) | 20 | $16,100 | $18,851 | $24,340 | $14,428–$28,868 |
| Kansas (statewide) | 21 | $15,425 | $18,125 | $22,009 | $7,120–$32,821 |
| Kentucky (statewide) | 33 | $15,008 | $17,646 | $22,894 | $10,518–$39,236 |
| Las Vegas NV | 2 | — | — | — | $27,865–$32,652 |
| Los Angeles CA | 18 | $29,069 | $31,318 | $33,229 | $22,528–$39,598 |
| Louisiana (statewide) | 23 | $13,380 | $15,781 | $17,420 | $10,550–$22,628 |
| Maine (statewide) | 13 | $34,527 | $45,624 | $50,869 | $12,971–$50,869 |
| Maryland (statewide) | 1 | — | — | — | $11,395–$11,395 |
| Massachusetts (statewide) | 6 | $17,518 | $21,418 | $22,961 | $11,994–$24,394 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $16,999–$28,695 |
| Michigan (statewide) | 37 | $20,033 | $22,340 | $28,491 | $13,258–$37,646 |
| Minneapolis-St. Paul MN | 15 | $25,162 | $28,506 | $29,215 | $18,258–$30,592 |
| Minnesota (statewide) | 21 | $21,458 | $21,469 | $28,830 | $9,236–$36,067 |
| Mississippi (statewide) | 18 | $17,222 | $18,774 | $19,624 | $10,703–$27,872 |
| Missouri (statewide) | 29 | $16,356 | $18,108 | $21,691 | $11,814–$47,618 |
| Montana (statewide) | 7 | $20,222 | $27,951 | $34,486 | $8,120–$59,190 |
| Nashville TN | 8 | $14,885 | $15,336 | $20,146 | $14,411–$32,661 |
| Nebraska (statewide) | 14 | $28,509 | $29,702 | $32,370 | $19,916–$40,181 |
| Nevada (statewide) | 5 | $22,863 | $23,694 | $32,652 | $21,706–$33,413 |
| New Hampshire (statewide) | 8 | $20,850 | $22,976 | $28,160 | $16,648–$39,570 |
| New Jersey (statewide) | 21 | $29,132 | $32,472 | $38,347 | $15,907–$50,373 |
| New Mexico (statewide) | 10 | $14,254 | $20,019 | $26,459 | $11,937–$51,225 |
| New York (statewide) | 48 | $19,340 | $22,586 | $30,827 | $12,206–$54,548 |
| New York City | 8 | $30,868 | $31,979 | $37,029 | $15,160–$51,801 |
| North Carolina (statewide) | 32 | $14,426 | $19,500 | $32,889 | $10,520–$42,016 |
| North Dakota (statewide) | 7 | $20,424 | $21,618 | $22,154 | $17,572–$30,714 |
| Ohio (statewide) | 51 | $21,426 | $25,270 | $29,700 | $10,807–$45,302 |
| Oklahoma (statewide) | 16 | $13,365 | $17,358 | $18,557 | $10,989–$31,590 |
| Oregon (statewide) | 10 | $27,884 | $31,798 | $35,266 | $17,302–$45,302 |
| Pennsylvania (statewide) | 59 | $19,946 | $25,385 | $30,580 | $12,872–$48,296 |
| Philadelphia PA | 11 | $29,441 | $31,377 | $36,142 | $27,872–$50,373 |
| Phoenix AZ | 11 | $28,004 | $28,004 | $31,108 | $27,019–$33,562 |
| Pittsburgh PA | 7 | $20,928 | $22,204 | $24,850 | $16,882–$28,629 |
| Portland OR | 9 | $34,213 | $36,248 | $44,293 | $34,128–$44,293 |
| Research Triangle NC | 9 | $18,564 | $22,625 | $25,947 | $15,806–$27,048 |
| Rhode Island (statewide) | 7 | $20,418 | $27,714 | $33,830 | $17,528–$36,429 |
| Richmond VA | 7 | $19,445 | $36,077 | $39,392 | $16,818–$42,072 |
| Rio Grande Valley TX | 6 | $18,023 | $19,242 | $20,304 | $16,785–$24,838 |
| Salt Lake City UT | 9 | $33,541 | $33,541 | $33,541 | $33,208–$33,541 |
| San Antonio TX | 3 | — | — | — | $14,351–$39,146 |
| San Diego CA | 7 | $20,504 | $24,073 | $26,266 | $19,488–$28,172 |
| San Francisco Bay Area CA | 2 | — | — | — | $20,012–$31,957 |
| Seattle-Tacoma WA | 16 | $34,318 | $37,395 | $39,654 | $33,556–$48,272 |
| South Carolina (statewide) | 31 | $29,803 | $34,189 | $40,870 | $14,064–$50,985 |
| South Dakota (statewide) | 3 | — | — | — | $21,644–$27,364 |
| St. Louis MO | 7 | $22,205 | $22,205 | $22,205 | $8,597–$30,059 |
| Tampa FL | 11 | $33,201 | $34,385 | $34,730 | $26,010–$37,314 |
| Tennessee (statewide) | 31 | $14,372 | $17,123 | $18,940 | $12,920–$32,661 |
| Texas (statewide) | 88 | $16,095 | $19,658 | $26,978 | $7,738–$44,229 |
| Utah (statewide) | 5 | $33,541 | $45,434 | $47,272 | $27,655–$47,272 |
| Vermont (statewide) | 3 | — | — | — | $21,267–$47,010 |
| Virginia (statewide) | 28 | $24,213 | $32,321 | $34,765 | $16,598–$55,459 |
| Washington (statewide) | 13 | $28,766 | $32,384 | $35,897 | $13,979–$71,717 |
| Washington DC | 11 | $25,130 | $33,352 | $34,380 | $15,416–$35,425 |
| West Virginia (statewide) | 12 | $10,833 | $11,426 | $31,807 | $9,240–$40,522 |
| Wisconsin (statewide) | 47 | $26,210 | $32,143 | $34,994 | $13,088–$40,467 |
| Wyoming (statewide) | 1 | — | — | — | $38,170–$38,170 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $7,120 | 0.7× | 3 | 2025-12-19 |
| Memorial Medical Center | Texas (statewide) | $7,738 | 0.6× | 1 | 2026-09-14 |
| Ascension Providence | Texas (statewide) | $7,834 | 0.7× | 3 | 2026-01-01 |
| Baylor Scott And White Medical Center Frisco At Pg | Texas (statewide) | $8,096 | 0.7× | 3 | 2025-01-31 |
| Mccone County Health Center | Montana (statewide) | $8,120 | 0.7× | 1 | 2026-01-01 |
| Schneck Medical Center | Indiana (statewide) | $8,480 | 0.7× | 3 | 2024-01-24 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $8,539 | 0.7× | 1 | 2026-07-29 |
| Mercy Hospital South | St. Louis MO | $8,597 | 0.7× | 1 | 2026-06-10 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,063 | 0.8× | 1 | 2026-01-01 |
| Garnet Health Medical Center Catskills | New York (statewide) | $51,891 | 3.4× | 8 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $52,896 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $54,548 | 3.6× | 10 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $55,459 | 4.8× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $56,246 | 4.2× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $59,190 | 4.8× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $62,618 | 4.0× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $64,773 | 4.1× | 1 | 2026-03-12 |
| Wilcox Memorial Hospital | Hawaii (statewide) | $70,236 | 4.9× | 2 | 2026-02-12 |
| Providence Centralia Hospital | Washington (statewide) | $71,717 | 5.3× | 2 | 2026-04-01 |
| Taylorville Memorial Hospital | Illinois (statewide) | $95,016 | 7.4× | 1 | 2026-09-17 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $104,930 | 6.7× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for umbilical or small abdominal wall hernia repair?
Across 1170 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 49591, hospital outpatient is $6,706, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,595 to $9,270. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for umbilical or small abdominal wall hernia repair?
Medicare's national hospital outpatient rate for CPT 49591 is $3,658 and its surgery-center rate is $1,744, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for umbilical or small abdominal wall hernia repair?
Lowest medians: Upmc Cole ($1,850), Oaklawn Hospital ($2,002), Weiser Memorial Hospital ($2,009). Highest: Ascension Sacred Heart Gulf ($28,358), Ascension Sacred Heart Bay ($28,358), Saint Francis Hospital & Medical Center ($25,188). Coverage: every hospital whose price file we could read.