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: Rpr Aa Hrn 1st < 3 Cm Rdc
91 hospitals in 33 markets. National Medicare rate $3,658, surgery center $1,744.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,689–$6,689 |
| Austin TX | 2 | — | — | — | $3,400–$5,019 |
| Boston MA | 7 | $5,370 | $6,219 | $7,528 | $4,652–$8,247 |
| California (statewide) | 1 | — | — | — | $11,297–$11,297 |
| Chicago IL | 5 | $5,156 | $5,991 | $7,188 | $4,035–$9,320 |
| Cleveland OH | 5 | $6,565 | $7,333 | $7,778 | $2,775–$8,063 |
| Columbus OH | 1 | — | — | — | $23,883–$23,883 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,703–$9,880 |
| Denver CO | 7 | $4,612 | $5,849 | $6,088 | $3,384–$7,122 |
| Detroit MI | 6 | $3,035 | $3,428 | $3,648 | $2,725–$3,648 |
| Georgia (statewide) | 1 | — | — | — | $6,803–$6,803 |
| Houston TX | 1 | — | — | — | $7,316–$7,316 |
| Kansas (statewide) | 1 | — | — | — | $5,906–$5,906 |
| Las Vegas NV | 2 | — | — | — | $2,986–$3,877 |
| Los Angeles CA | 2 | — | — | — | $10,042–$19,724 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,465–$8,346 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,802–$3,802 |
| Nashville TN | 3 | — | — | — | $3,719–$5,768 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $10,246–$13,586 |
| Ohio (statewide) | 1 | — | — | — | $7,862–$7,862 |
| Pennsylvania (statewide) | 1 | — | — | — | $13,552–$13,552 |
| Philadelphia PA | 5 | $5,840 | $9,022 | $9,630 | $5,567–$13,320 |
| Phoenix AZ | 3 | — | — | — | $4,714–$4,839 |
| Portland OR | 6 | $13,746 | $13,746 | $20,921 | $13,746–$23,313 |
| Research Triangle NC | 1 | — | — | — | $3,270–$3,270 |
| Richmond VA | 2 | — | — | — | $9,000–$9,000 |
| San Antonio TX | 1 | — | — | — | $7,686–$7,686 |
| San Francisco Bay Area CA | 3 | — | — | — | $22,072–$22,517 |
| Seattle-Tacoma WA | 4 | — | — | — | $9,999–$14,662 |
| St. Louis MO | 3 | — | — | — | $8,281–$8,281 |
| Tampa FL | 2 | — | — | — | $4,763–$7,456 |
| Washington DC | 4 | — | — | — | $4,666–$6,895 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $2,725 | 0.8× | 16 | 2026-03-31 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,775 | 0.8× | 1 | 2026-07-14 |
| Mclaren Port Huron | Detroit MI | $2,977 | 0.8× | 1 | 2025-12-31 |
| Henderson Hospital | Las Vegas NV | $2,986 | 0.8× | 4 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,208 | 0.9× | 1 | 2026-01-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $3,270 | 0.9× | 2 | 2026-02-25 |
| Adventhealth Porter | Denver CO | $3,384 | 0.9× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $3,384 | 0.9× | 4 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $3,400 | 0.9× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,648 | 1.0× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,648 | 1.0× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,648 | 1.0× | 1 | 2026-05-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,719 | 1.1× | 7 | 2025-10-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,802 | 1.0× | 4 | 2026-03-31 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,877 | 1.0× | 6 | 2026-07-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,942 | 1.1× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,035 | 1.1× | 3 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $4,652 | 1.1× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $4,666 | 1.1× | 2 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,714 | 1.2× | 4 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $4,763 | 1.3× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,839 | 1.3× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,839 | 1.3× | 5 | 2026-04-01 |
| St David's Medical Center | Austin TX | $5,019 | 1.4× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $5,156 | 1.3× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $5,359 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $5,380 | 1.3× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,567 | 1.5× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,768 | 1.7× | 5 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.3× | 5 | 2026-06-10 |
| HCA HealthONE Swedish | Denver CO | $5,840 | 1.6× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $5,840 | 1.6× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,849 | 1.6× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $5,906 | 1.7× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,991 | 1.6× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,078 | 1.6× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $6,098 | 1.6× | 4 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $6,219 | 1.4× | 2 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,465 | 1.7× | 3 | 2026-06-15 |
| Reston Hospital Center | Washington DC | $6,507 | 1.8× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $6,519 | 1.8× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $6,565 | 1.9× | 3 | 2026-06-15 |
| Emory University Hospital | Atlanta GA | $6,689 | 1.9× | 5 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,703 | 1.9× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $6,803 | 2.2× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $6,895 | 1.9× | 5 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $7,122 | 1.9× | 3 | 2025-11-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $7,188 | 1.9× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $7,316 | 2.0× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $7,333 | 2.2× | 1 | 2026-06-15 |
| Morton Plant Hospital | Tampa FL | $7,456 | 2.0× | 2 | 2026-01-01 |
| Winchester Hospital | Boston MA | $7,459 | 1.7× | 2 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $7,598 | 1.8× | 1 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $7,686 | 2.1× | 3 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,778 | 2.3× | 3 | 2026-06-16 |
| Bethesda North | Ohio (statewide) | $7,862 | 2.3× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $8,063 | 2.4× | 2 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $8,247 | 1.9× | 1 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $8,281 | 2.3× | 2 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $8,281 | 2.3× | 2 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $8,281 | 2.3× | 2 | 2026-06-10 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $8,346 | 2.2× | 2 | 2026-03-30 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $8,942 | 2.5× | 2 | 2026-04-21 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,000 | 2.6× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $9,000 | 2.6× | 3 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,022 | 2.2× | 3 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $9,295 | 2.6× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $9,320 | 2.4× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,630 | 2.6× | 3 | 2026-09-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,880 | 2.8× | 5 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $9,999 | 2.4× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,042 | 2.2× | 5 | 2026-04-01 |
| Montefiore Medical Center | New York City | $10,246 | 2.3× | 8 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,297 | 2.5× | 5 | 2026-09-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $12,361 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $12,925 | 3.1× | 7 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 3.3× | 1 | 2026-03-24 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $13,552 | 3.7× | 8 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $13,586 | 3.0× | 7 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $13,746 | 3.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,746 | 3.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,746 | 3.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,746 | 3.5× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $14,662 | 3.5× | 6 | 2026-08-27 |
| Cedars-Sinai Medical Center | Los Angeles CA | $19,724 | 4.3× | 3 | 2025-11-26 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $22,072 | 4.4× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $22,072 | 4.4× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $22,517 | 4.3× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $23,313 | 5.9× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $23,313 | 5.9× | 2 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $23,883 | 6.9× | 20 | 2026-03-31 |
CPT 49592: Rpr Aa Hrn 1st < 3 Ncr/Strn
91 hospitals in 34 markets. National Medicare rate $6,176, surgery center $3,031.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,797–$7,797 |
| Austin TX | 2 | — | — | — | $5,004–$10,172 |
| Boston MA | 7 | $8,808 | $9,854 | $10,874 | $7,696–$12,137 |
| California (statewide) | 1 | — | — | — | $13,297–$13,297 |
| Chicago IL | 6 | $8,433 | $9,150 | $12,268 | $8,176–$16,105 |
| Cleveland OH | 5 | $10,235 | $10,364 | $11,816 | $6,400–$12,382 |
| Columbus OH | 1 | — | — | — | $23,883–$23,883 |
| Dallas-Fort Worth TX | 4 | — | — | — | $10,795–$22,782 |
| Denver CO | 7 | $6,960 | $7,105 | $7,715 | $6,791–$8,380 |
| Detroit MI | 5 | $4,812 | $5,369 | $5,369 | $4,087–$5,369 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $10,072–$10,072 |
| Kansas (statewide) | 1 | — | — | — | $7,338–$7,338 |
| Las Vegas NV | 2 | — | — | — | $5,153–$6,026 |
| Los Angeles CA | 2 | — | — | — | $18,272–$28,632 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $8,897–$8,897 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $6,257–$6,257 |
| Nashville TN | 3 | — | — | — | $5,597–$5,834 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $13,070–$14,618 |
| Ohio (statewide) | 1 | — | — | — | $11,380–$11,380 |
| Pennsylvania (statewide) | 1 | — | — | — | $20,482–$20,482 |
| Philadelphia PA | 5 | $5,840 | $9,630 | $9,751 | $5,567–$13,320 |
| Phoenix AZ | 3 | — | — | — | $7,053–$7,547 |
| Portland OR | 6 | $17,690 | $17,690 | $24,890 | $17,690–$27,290 |
| Research Triangle NC | 1 | — | — | — | $4,932–$4,932 |
| Richmond VA | 2 | — | — | — | $11,102–$11,102 |
| San Antonio TX | 1 | — | — | — | $10,312–$10,312 |
| San Diego CA | 1 | — | — | — | $7,776–$7,776 |
| San Francisco Bay Area CA | 3 | — | — | — | $29,119–$38,875 |
| Seattle-Tacoma WA | 4 | — | — | — | $15,886–$25,676 |
| St. Louis MO | 3 | — | — | — | $8,281–$8,281 |
| Tampa FL | 2 | — | — | — | $9,649–$12,975 |
| Washington DC | 4 | — | — | — | $4,666–$11,120 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $4,087 | 0.7× | 16 | 2026-03-31 |
| George Washington Univ Hospital | Washington DC | $4,666 | 0.7× | 2 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,812 | 0.8× | 1 | 2026-01-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $4,932 | 0.8× | 2 | 2026-02-25 |
| Ascension Seton Medical Center Austin | Austin TX | $5,004 | 0.8× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $5,153 | 0.8× | 2 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,369 | 0.9× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,369 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,369 | 0.9× | 1 | 2026-05-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,567 | 0.9× | 2 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 1.0× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,768 | 1.0× | 5 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 0.8× | 5 | 2026-06-10 |
| Vanderbilt University Medical Center | Nashville TN | $5,834 | 1.0× | 7 | 2025-10-01 |
| Bryn Mawr Hospital | Philadelphia PA | $5,840 | 0.9× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $6,026 | 0.9× | 6 | 2026-07-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $6,257 | 1.0× | 3 | 2026-03-31 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $6,400 | 1.1× | 1 | 2026-07-14 |
| HCA HealthONE Swedish | Denver CO | $6,791 | 1.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,837 | 1.1× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $7,053 | 1.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $7,053 | 1.1× | 5 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,084 | 1.1× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,105 | 1.1× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $7,338 | 1.3× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $7,547 | 1.2× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $7,696 | 1.1× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $7,715 | 1.2× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $7,715 | 1.2× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $7,776 | 1.0× | 1 | 2026-03-30 |
| Emory University Hospital | Atlanta GA | $7,797 | 1.3× | 5 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $7,907 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,176 | 1.3× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $8,254 | 1.3× | 3 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $8,281 | 1.4× | 2 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $8,281 | 1.4× | 2 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $8,281 | 1.4× | 2 | 2026-06-10 |
| UCHealth University of Colorado Hospital | Denver CO | $8,380 | 1.3× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $8,897 | 1.4× | 2 | 2026-06-15 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,969 | 1.4× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 1.7× | 3 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $9,330 | 1.4× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,630 | 1.6× | 3 | 2026-09-15 |
| Tampa General Hospital | Tampa FL | $9,649 | 1.5× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,710 | 1.3× | 1 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,751 | 1.4× | 3 | 2026-09-15 |
| Anna Jaques Hospital | Boston MA | $9,854 | 1.4× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $10,072 | 1.7× | 3 | 2026-04-01 |
| St David's Medical Center | Austin TX | $10,172 | 1.7× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $10,235 | 1.8× | 3 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $10,312 | 1.7× | 3 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $10,364 | 1.8× | 3 | 2026-06-16 |
| Winchester Hospital | Boston MA | $10,568 | 1.5× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,795 | 1.8× | 3 | 2026-06-29 |
| Inova Alexandria Hospital | Washington DC | $11,070 | 1.8× | 5 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $11,098 | 1.8× | 4 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $11,102 | 1.9× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,102 | 1.9× | 3 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $11,120 | 1.8× | 4 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,181 | 1.5× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $11,380 | 1.9× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $11,816 | 2.1× | 2 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $12,137 | 1.7× | 1 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $12,382 | 2.2× | 1 | 2026-06-15 |
| Morton Plant Hospital | Tampa FL | $12,975 | 2.1× | 2 | 2026-01-01 |
| Montefiore Medical Center | New York City | $13,070 | 1.7× | 8 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $13,247 | 2.0× | 1 | 2026-03-31 |
| Los Robles Hospital & Medical Center | California (statewide) | $13,297 | 1.7× | 5 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 2.0× | 1 | 2026-03-24 |
| Medical City Plano | Dallas-Fort Worth TX | $13,780 | 2.3× | 5 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $14,618 | 1.9× | 7 | 2026-01-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $15,011 | 2.5× | 5 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $15,886 | 2.3× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $16,105 | 2.5× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $17,690 | 2.6× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $17,690 | 2.6× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $17,690 | 2.6× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $17,690 | 2.6× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $18,272 | 2.4× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $20,482 | 3.3× | 8 | 2026-07-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $20,616 | 2.9× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $22,782 | 3.8× | 2 | 2026-04-21 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $23,883 | 4.1× | 20 | 2026-03-31 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $24,132 | 3.4× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $25,676 | 3.6× | 4 | 2026-08-27 |
| Providence St Vincent Medical Center | Portland OR | $27,290 | 4.1× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $27,290 | 4.1× | 2 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $28,632 | 3.7× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $29,119 | 3.3× | 4 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $31,568 | 3.7× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $38,875 | 4.5× | 6 | 2026-03-23 |
MS-DRG 355: Hernia Procedures Except Inguinal and Femoral Without Cc/McC
126 hospitals in 39 markets. National Medicare rate $9,787.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $24,057–$26,737 |
| Austin TX | 2 | — | — | — | $8,758–$11,470 |
| Boston MA | 7 | $11,954 | $12,441 | $13,866 | $10,104–$19,603 |
| California (statewide) | 1 | — | — | — | $15,635–$15,635 |
| Charlotte NC | 2 | — | — | — | $22,114–$26,293 |
| Chicago IL | 7 | $15,411 | $18,608 | $20,165 | $12,661–$25,017 |
| Cleveland OH | 5 | $15,456 | $18,424 | $20,204 | $15,141–$22,000 |
| Columbus OH | 1 | — | — | — | $29,832–$29,832 |
| Dallas-Fort Worth TX | 4 | — | — | — | $17,374–$28,834 |
| Denver CO | 7 | $9,008 | $12,491 | $23,838 | $8,887–$28,311 |
| Detroit MI | 8 | $18,841 | $23,206 | $27,532 | $18,841–$28,898 |
| Florida (statewide) | 1 | — | — | — | $38,669–$38,669 |
| Georgia (statewide) | 1 | — | — | — | $26,428–$26,428 |
| Houston TX | 1 | — | — | — | $23,302–$23,302 |
| Illinois (statewide) | 1 | — | — | — | $10,716–$10,716 |
| Indianapolis IN | 3 | — | — | — | $15,520–$19,535 |
| Kansas (statewide) | 1 | — | — | — | $14,634–$14,634 |
| Las Vegas NV | 1 | — | — | — | $14,756–$14,756 |
| Los Angeles CA | 2 | — | — | — | $25,223–$41,170 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $16,428–$21,506 |
| Minneapolis-St. Paul MN | 6 | $20,486 | $21,594 | $22,491 | $16,328–$25,371 |
| Nashville TN | 4 | — | — | — | $14,415–$27,993 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $13,106–$43,165 |
| Ohio (statewide) | 1 | — | — | — | $23,527–$23,527 |
| Pennsylvania (statewide) | 1 | — | — | — | $26,255–$26,255 |
| Philadelphia PA | 5 | $24,120 | $25,226 | $32,964 | $22,426–$36,587 |
| Phoenix AZ | 3 | — | — | — | $22,058–$22,223 |
| Pittsburgh PA | 1 | — | — | — | $27,955–$27,955 |
| Portland OR | 6 | $28,672 | $29,534 | $33,560 | $28,483–$34,711 |
| Research Triangle NC | 5 | $13,694 | $16,520 | $17,170 | $11,762–$19,505 |
| Richmond VA | 4 | — | — | — | $21,061–$32,361 |
| Salt Lake City UT | 3 | — | — | — | $26,515–$27,575 |
| San Antonio TX | 1 | — | — | — | $11,344–$11,344 |
| San Diego CA | 1 | — | — | — | $21,964–$21,964 |
| Seattle-Tacoma WA | 6 | $30,190 | $30,357 | $30,524 | $26,490–$37,829 |
| St. Louis MO | 5 | $21,801 | $21,801 | $21,801 | $6,873–$28,206 |
| Tampa FL | 4 | — | — | — | $26,942–$31,969 |
| Washington DC | 6 | $18,106 | $25,297 | $27,775 | $15,989–$31,847 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $6,873 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $8,758 | 0.9× | 1 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $8,887 | 0.9× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $8,981 | 0.9× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $9,036 | 0.9× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $10,104 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $10,716 | 1.0× | 1 | 2026-06-03 |
| Methodist Hospital | San Antonio TX | $11,344 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $11,467 | 1.0× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $11,470 | 1.2× | 6 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $11,762 | 1.2× | 2 | 2026-02-25 |
| Beverly Hospital Corporation | Boston MA | $12,441 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $12,441 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $12,491 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $12,661 | 1.2× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $13,106 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $13,394 | 1.1× | 2 | 2026-04-01 |
| Duke Regional Hospital | Research Triangle NC | $13,694 | 1.4× | 4 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $14,338 | 1.2× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $14,415 | 1.6× | 6 | 2026-01-01 |
| Endeavor Health Edward Hospital | Chicago IL | $14,615 | 1.4× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $14,634 | 1.6× | 6 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $14,756 | 1.4× | 2 | 2026-07-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $14,993 | 1.6× | 7 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $15,016 | 1.6× | 7 | 2026-01-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $15,141 | 1.7× | 3 | 2026-07-14 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $15,456 | 1.7× | 4 | 2026-06-15 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.5× | 5 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $15,635 | 1.2× | 3 | 2026-09-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.6× | 5 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $15,989 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $15,989 | 1.6× | 5 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $16,207 | 1.6× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $16,328 | 1.6× | 3 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $16,428 | 1.6× | 4 | 2026-06-15 |
| Duke University Hospital | Research Triangle NC | $16,520 | 1.7× | 4 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $17,170 | 1.8× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $17,374 | 1.8× | 5 | 2026-06-29 |
| Medical City Mckinney | Dallas-Fort Worth TX | $18,350 | 1.9× | 6 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $18,424 | 2.0× | 5 | 2026-06-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $18,608 | 1.8× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $18,841 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $18,841 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $18,841 | 2.0× | 3 | 2026-05-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $19,505 | 2.0× | 3 | 2026-04-01 |
| Hendricks Regional Health | Indianapolis IN | $19,535 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $19,603 | 1.7× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $19,734 | 1.9× | 4 | 2026-03-31 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $20,116 | 2.0× | 3 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $20,171 | 2.1× | 6 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $20,204 | 2.2× | 4 | 2026-06-15 |
| Rush University Medical Center | Chicago IL | $20,596 | 2.0× | 4 | 2026-09-25 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $21,061 | 2.3× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $21,061 | 2.3× | 5 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $21,506 | 2.1× | 3 | 2026-03-13 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $21,594 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $21,594 | 2.1× | 4 | 2026-06-16 |
| Missouri Baptist Medical Center | St. Louis MO | $21,801 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $21,801 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $21,801 | 2.3× | 5 | 2025-12-15 |
| Scripps Green Hospital | San Diego CA | $21,964 | 1.8× | 6 | 2026-03-30 |
| Cleveland Clinic (main campus) | Cleveland OH | $22,000 | 2.4× | 5 | 2026-06-16 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $22,058 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $22,058 | 2.1× | 5 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $22,114 | 2.4× | 2 | 2025-12-05 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $22,223 | 2.2× | 4 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $22,366 | 2.4× | 2 | 2026-05-01 |
| Riddle Memorial Hospital | Philadelphia PA | $22,426 | 2.3× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $22,790 | 2.3× | 3 | 2026-06-16 |
| Houston Methodist Hospital | Houston TX | $23,302 | 2.4× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $23,527 | 2.5× | 5 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $23,838 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $23,838 | 2.4× | 2 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $24,045 | 2.5× | 1 | 2025-12-31 |
| Emory University Hospital | Atlanta GA | $24,057 | 2.5× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $24,120 | 2.5× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $24,455 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $25,017 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,223 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $25,226 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $25,371 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $25,400 | 2.6× | 5 | 2026-07-01 |
| VCU Medical Center | Richmond VA | $26,028 | 2.8× | 3 | 2026-01-02 |
| Piedmont Fayette Hospital | Atlanta GA | $26,077 | 2.7× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $26,139 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $26,255 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $26,293 | 2.8× | 3 | 2026-03-30 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $26,428 | 3.2× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $26,490 | 2.4× | 6 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $26,515 | 2.7× | 1 | 2026-08-05 |
| Piedmont Newnan Hospital | Atlanta GA | $26,737 | 2.8× | 5 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $26,942 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $27,277 | 2.7× | 5 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $27,402 | 2.9× | 17 | 2026-03-31 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $27,575 | 2.8× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $27,575 | 2.8× | 1 | 2026-08-05 |
| Harper University Hospital | Detroit MI | $27,921 | 2.9× | 2 | 2026-09-02 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $27,955 | 3.0× | 1 | 2026-03-06 |
| Vanderbilt University Medical Center | Nashville TN | $27,993 | 3.0× | 6 | 2025-10-01 |
| Barnes Jewish Hospital | St. Louis MO | $28,206 | 2.9× | 4 | 2025-12-15 |
| UCHealth University of Colorado Hospital | Denver CO | $28,311 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $28,320 | 2.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $28,483 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $28,576 | 2.7× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $28,834 | 3.0× | 4 | 2026-04-21 |
| Henry Ford Health Rochester Hospital | Detroit MI | $28,898 | 3.0× | 1 | 2026-01-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $28,962 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $29,074 | 2.9× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $29,832 | 3.2× | 3 | 2026-07-01 |
| Legacy Emanuel Medical Center | Portland OR | $30,107 | 2.8× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $30,190 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $30,190 | 2.7× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $30,524 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $30,524 | 2.7× | 6 | 2026-08-27 |
| Medstar Georgetown University Hospital | Washington DC | $31,847 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $31,969 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $32,361 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $32,964 | 3.4× | 5 | 2026-09-15 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 2.7× | 1 | 2026-06-10 |
| Providence St Vincent Medical Center | Portland OR | $34,711 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $34,711 | 3.2× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $36,587 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $37,829 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $38,669 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $41,170 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $43,165 | 3.5× | 7 | 2026-01-01 |
MS-DRG 354: Hernia Procedures Except Inguinal and Femoral With Cc
126 hospitals in 39 markets. National Medicare rate $12,242.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $30,698–$33,444 |
| Austin TX | 2 | — | — | — | $10,954–$13,838 |
| Boston MA | 7 | $14,953 | $15,562 | $17,344 | $12,638–$24,521 |
| California (statewide) | 1 | — | — | — | $18,964–$18,964 |
| Charlotte NC | 2 | — | — | — | $28,216–$32,889 |
| Chicago IL | 7 | $19,665 | $23,744 | $25,472 | $16,156–$31,293 |
| Cleveland OH | 5 | $20,334 | $22,000 | $24,304 | $18,939–$25,900 |
| Columbus OH | 1 | — | — | — | $37,316–$37,316 |
| Dallas-Fort Worth TX | 4 | — | — | — | $23,116–$36,793 |
| Denver CO | 7 | $13,125 | $18,068 | $29,818 | $12,578–$35,413 |
| Detroit MI | 8 | $23,567 | $27,798 | $32,800 | $23,567–$34,228 |
| Florida (statewide) | 1 | — | — | — | $49,344–$49,344 |
| Georgia (statewide) | 1 | — | — | — | $33,722–$33,722 |
| Houston TX | 1 | — | — | — | $29,544–$29,544 |
| Illinois (statewide) | 1 | — | — | — | $13,404–$13,404 |
| Indianapolis IN | 3 | — | — | — | $15,520–$24,435 |
| Kansas (statewide) | 1 | — | — | — | $18,305–$18,305 |
| Las Vegas NV | 1 | — | — | — | $18,828–$18,828 |
| Los Angeles CA | 2 | — | — | — | $31,551–$51,498 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $20,549–$26,901 |
| Minneapolis-St. Paul MN | 6 | $25,624 | $27,010 | $28,132 | $20,424–$30,592 |
| Nashville TN | 4 | — | — | — | $14,993–$35,015 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $16,724–$53,993 |
| Ohio (statewide) | 1 | — | — | — | $29,429–$29,429 |
| Pennsylvania (statewide) | 1 | — | — | — | $33,724–$33,724 |
| Philadelphia PA | 5 | $31,377 | $31,554 | $41,233 | $29,495–$45,765 |
| Phoenix AZ | 3 | — | — | — | $28,004–$29,320 |
| Pittsburgh PA | 1 | — | — | — | $33,465–$33,465 |
| Portland OR | 6 | $35,966 | $36,474 | $42,466 | $35,966–$44,293 |
| Research Triangle NC | 5 | $15,976 | $21,908 | $24,887 | $15,806–$27,048 |
| Richmond VA | 4 | — | — | — | $26,345–$42,072 |
| Salt Lake City UT | 3 | — | — | — | $37,017–$38,497 |
| San Antonio TX | 1 | — | — | — | $13,782–$13,782 |
| San Diego CA | 1 | — | — | — | $27,472–$27,472 |
| Seattle-Tacoma WA | 6 | $38,342 | $38,444 | $38,522 | $33,512–$48,272 |
| St. Louis MO | 5 | $27,287 | $27,287 | $27,287 | $8,597–$36,121 |
| Tampa FL | 4 | — | — | — | $34,378–$39,988 |
| Washington DC | 6 | $22,647 | $31,970 | $34,907 | $20,000–$39,836 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $8,597 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $10,954 | 0.9× | 1 | 2026-01-01 |
| HCA HealthONE Swedish | Denver CO | $12,578 | 1.0× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $12,638 | 0.9× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $12,916 | 1.0× | 5 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $13,334 | 1.1× | 5 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $13,404 | 1.0× | 1 | 2026-06-03 |
| Methodist Hospital | San Antonio TX | $13,782 | 1.1× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $13,838 | 1.1× | 6 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $14,344 | 1.0× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $14,993 | 1.3× | 7 | 2026-09-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.2× | 5 | 2026-01-01 |
| Beverly Hospital Corporation | Boston MA | $15,562 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $15,562 | 1.1× | 1 | 2026-04-01 |
| Duke Regional Hospital | Research Triangle NC | $15,806 | 1.3× | 4 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $15,842 | 1.4× | 6 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $15,842 | 1.4× | 7 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.3× | 5 | 2026-01-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $15,976 | 1.3× | 2 | 2026-02-25 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $16,156 | 1.3× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $16,724 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $16,753 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $17,934 | 1.2× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $18,068 | 1.4× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $18,305 | 1.6× | 6 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $18,649 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $18,828 | 1.5× | 2 | 2026-07-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $18,939 | 1.7× | 3 | 2026-07-14 |
| Los Robles Hospital & Medical Center | California (statewide) | $18,964 | 1.2× | 3 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $20,000 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $20,000 | 1.6× | 5 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $20,334 | 1.8× | 4 | 2026-06-15 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $20,424 | 1.6× | 3 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $20,549 | 1.6× | 4 | 2026-06-15 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $20,681 | 1.6× | 3 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $21,908 | 1.8× | 3 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $22,000 | 1.9× | 5 | 2026-06-16 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $23,116 | 1.9× | 4 | 2026-06-29 |
| Medical City Mckinney | Dallas-Fort Worth TX | $23,230 | 1.9× | 6 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $23,567 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $23,567 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $23,567 | 2.0× | 3 | 2026-05-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $23,744 | 1.8× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $24,304 | 2.1× | 5 | 2026-06-15 |
| Hendricks Regional Health | Indianapolis IN | $24,435 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $24,521 | 1.7× | 4 | 2026-04-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $24,887 | 2.1× | 3 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $25,162 | 2.0× | 3 | 2026-03-31 |
| Loyola University Medical Center | Chicago IL | $25,179 | 1.9× | 4 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $25,554 | 2.1× | 6 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $25,764 | 2.0× | 4 | 2026-09-25 |
| Medina Hospital | Cleveland OH | $25,900 | 2.3× | 4 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $26,345 | 2.3× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $26,345 | 2.3× | 5 | 2026-09-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $26,901 | 2.1× | 3 | 2026-03-13 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $27,010 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $27,010 | 2.1× | 4 | 2026-06-16 |
| Duke University Hospital | Research Triangle NC | $27,048 | 2.3× | 4 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $27,117 | 2.3× | 2 | 2026-05-01 |
| Missouri Baptist Medical Center | St. Louis MO | $27,287 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $27,287 | 2.3× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $27,287 | 2.3× | 5 | 2025-12-15 |
| Scripps Green Hospital | San Diego CA | $27,472 | 1.8× | 6 | 2026-03-30 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $28,004 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $28,004 | 2.2× | 5 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $28,216 | 2.4× | 2 | 2025-12-05 |
| Mclaren Port Huron | Detroit MI | $28,480 | 2.4× | 1 | 2025-12-31 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $28,506 | 2.3× | 3 | 2026-06-16 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $29,320 | 2.3× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $29,429 | 2.5× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $29,495 | 2.4× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $29,544 | 2.5× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $29,818 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $29,818 | 2.4× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $30,589 | 2.1× | 3 | 2026-09-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $30,592 | 2.4× | 5 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $30,698 | 2.6× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $31,293 | 2.4× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $31,377 | 2.5× | 4 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $31,551 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $31,554 | 2.3× | 5 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $31,771 | 2.6× | 5 | 2026-07-01 |
| Trinity Health Oakland Hospital | Detroit MI | $32,456 | 2.7× | 17 | 2026-03-31 |
| Piedmont Fayette Hospital | Atlanta GA | $32,618 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $32,889 | 2.8× | 3 | 2026-03-30 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 2.2× | 1 | 2026-06-10 |
| Inova Alexandria Hospital | Washington DC | $33,352 | 2.7× | 5 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $33,444 | 2.8× | 5 | 2026-07-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $33,465 | 2.9× | 1 | 2026-03-06 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $33,512 | 2.4× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $33,722 | 3.2× | 4 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $33,724 | 2.8× | 5 | 2026-07-01 |
| Harper University Hospital | Detroit MI | $33,834 | 2.8× | 2 | 2026-09-02 |
| Henry Ford Health Rochester Hospital | Detroit MI | $34,228 | 2.9× | 1 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $34,378 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $34,805 | 2.8× | 5 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $35,015 | 3.0× | 6 | 2025-10-01 |
| UCHealth University of Colorado Hospital | Denver CO | $35,413 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $35,425 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $35,966 | 2.7× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $35,966 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $35,966 | 2.7× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $36,121 | 3.0× | 4 | 2025-12-15 |
| Adventhealth Tampa | Tampa FL | $36,368 | 2.9× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $36,793 | 3.1× | 4 | 2026-04-21 |
| Legacy Emanuel Medical Center | Portland OR | $36,983 | 2.8× | 4 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $37,017 | 3.0× | 1 | 2026-08-05 |
| Ohio State University Hospitals | Columbus OH | $37,316 | 3.2× | 3 | 2026-07-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $38,334 | 2.7× | 6 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $38,367 | 2.7× | 6 | 2026-08-27 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $38,497 | 3.2× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $38,497 | 3.2× | 1 | 2026-08-05 |
| St Clare Hospital | Seattle-Tacoma WA | $38,522 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $38,522 | 2.7× | 6 | 2026-02-28 |
| Medstar Georgetown University Hospital | Washington DC | $39,836 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $39,988 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $40,479 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $41,233 | 3.4× | 5 | 2026-09-15 |
| VCU Medical Center | Richmond VA | $42,072 | 3.6× | 3 | 2026-01-02 |
| Providence St Vincent Medical Center | Portland OR | $44,293 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $44,293 | 3.3× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $45,765 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $48,272 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $49,344 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $51,498 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $53,993 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for umbilical or small abdominal wall hernia repair?
Across 91 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 49591, hospital outpatient is $6,895, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,929 to $9,475. 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: Trinity Health Oakland Hospital ($2,725), University Hospitals - Elyria Medical Center ($2,775), Mclaren Port Huron ($2,977). Highest: Mount Carmel New Albany Surgical Hospital ($23,883), Providence Portland Medical Center ($23,313), Providence St Vincent Medical Center ($23,313). Coverage is limited to the markets listed on this page.