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Umbilical or small abdominal wall hernia repair in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 49591

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7831.3×52026-06-10
Montefiore Medical Center Bronx$10,2462.3×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,5863.0×72026-01-01

CPT 49592

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7830.8×52026-06-10
Montefiore Medical Center Bronx$13,0701.7×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$14,6181.9×72026-01-01

MS-DRG 355

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$13,1061.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.7×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$43,1653.5×72026-01-01

MS-DRG 354

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$16,7241.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.2×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$53,9933.5×72026-01-01

Questions

How much do insurers pay for umbilical or small abdominal wall hernia repair in New York?

3 New York hospitals post usable commercial rates for umbilical or small abdominal wall hernia repair in their federal price-transparency files. For CPT 49591, hospital outpatient, the median across 3 hospitals is $10,246, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.