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Ventral (incisional) hernia repair: what insurers pay

Repair of an abdominal wall hernia 3-10 cm, reducible (49593) or incarcerated (49594); 49595 over 10 cm. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 49593: Ventral (Incisional) Hernia Repair

1123 hospitals in 81 markets. National Medicare rate $6,614, surgery center $3,365.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$6,068$6,950$7,814$3,054–$11,472
Alaska (statewide)3———$9,619–$19,552
Arizona (statewide)10$6,232$7,428$7,719$4,714–$14,869
Arkansas (statewide)12$4,984$5,908$6,436$4,431–$9,816
Atlanta GA6$6,689$6,689$8,008$6,689–$8,448
Austin TX13$3,400$5,584$5,584$3,400–$8,918
Boston MA13$5,856$6,650$7,725$3,935–$8,840
California (statewide)66$8,326$12,026$18,411$4,755–$28,366
Charlotte NC5$7,418$7,418$7,418$7,317–$7,418
Chicago IL9$7,188$8,488$10,219$4,035–$11,102
Cleveland OH10$6,575$6,903$7,791$6,092–$11,832
Colorado (statewide)14$5,932$7,477$8,459$3,542–$12,400
Columbus OH2———$23,285–$23,285
Connecticut (statewide)2———$6,002–$26,973
Dallas-Fort Worth TX13$8,918$8,926$9,560$7,942–$16,096
Denver CO15$6,074$7,270$7,492$5,415–$11,080
Detroit MI12$3,648$3,966$5,638$3,648–$10,003
Florida (statewide)61$6,890$8,117$10,089$4,673–$28,358
Georgia (statewide)31$5,976$7,431$8,784$3,400–$18,982
Hawaii (statewide)7$7,771$8,000$9,178$5,650–$10,048
Houston TX15$5,814$7,316$8,724$5,780–$12,356
Idaho (statewide)15$7,609$10,482$13,118$3,542–$15,849
Illinois (statewide)29$6,543$7,929$10,292$5,282–$18,538
Indiana (statewide)33$9,952$13,052$20,482$4,857–$25,351
Indianapolis IN2———$26,929–$29,053
Iowa (statewide)22$6,666$9,654$12,293$5,732–$19,646
Kansas (statewide)15$5,197$6,908$8,285$3,812–$19,552
Kentucky (statewide)9$5,284$5,650$6,707$3,120–$8,641
Las Vegas NV2———$4,072–$6,896
Los Angeles CA17$8,723$9,950$14,574$6,423–$19,724
Louisiana (statewide)20$5,712$6,344$8,061$4,023–$11,994
Maine (statewide)16$25,568$29,016$29,684$13,818–$37,320
Maryland (statewide)1———$7,567–$7,567
Massachusetts (statewide)5$3,935$5,127$5,611$3,935–$5,968
Miami-Fort Lauderdale FL2———$6,465–$8,346
Michigan (statewide)28$4,390$5,312$6,451$3,365–$9,776
Minneapolis-St. Paul MN8$5,234$5,911$8,038$5,022–$13,431
Minnesota (statewide)11$7,146$11,130$12,512$5,234–$16,570
Mississippi (statewide)18$6,076$9,017$10,761$4,736–$17,656
Missouri (statewide)23$8,432$9,518$11,258$5,182–$15,464
Montana (statewide)5$12,480$13,103$14,644$11,557–$18,594
Nashville TN7$5,493$5,768$7,624$3,942–$10,124
Nebraska (statewide)5$7,120$7,643$7,643$4,072–$14,712
Nevada (statewide)6$4,459$8,391$12,983$4,072–$15,121
New Hampshire (statewide)6$12,097$15,264$19,750$9,001–$28,990
New Jersey (statewide)23$7,452$7,773$10,724$6,458–$20,525
New Mexico (statewide)10$10,434$12,540$17,726$4,250–$24,439
New York (statewide)32$7,236$9,753$13,952$4,719–$18,981
New York City8$9,325$9,753$10,711$6,816–$13,628
North Carolina (statewide)7$7,558$8,386$11,533$6,613–$16,034
North Dakota (statewide)3———$6,109–$7,905
Ohio (statewide)37$6,761$12,496$15,576$3,500–$24,883
Oklahoma (statewide)11$6,614$10,608$13,088$4,438–$15,256
Oregon (statewide)8$13,922$15,978$20,774$13,246–$36,125
Pennsylvania (statewide)43$7,704$12,007$16,802$3,220–$29,780
Philadelphia PA11$5,810$7,712$8,882$5,527–$13,320
Phoenix AZ6$4,745$4,839$4,839$4,714–$4,839
Pittsburgh PA9$6,105$11,312$13,055$4,977–$15,705
Portland OR9$13,975$13,975$24,695$13,860–$24,695
Research Triangle NC1———$3,366–$3,366
Rhode Island (statewide)4———$6,717–$12,989
Richmond VA3———$9,000–$9,000
Rio Grande Valley TX6$5,955$7,342$8,413$5,849–$8,736
Salt Lake City UT9$4,870$4,870$4,870$4,870–$5,917
San Antonio TX3———$6,768–$7,617
San Diego CA7$14,454$14,571$14,571$11,657–$15,354
San Francisco Bay Area CA6$9,412$11,496$13,373$8,356–$22,517
Seattle-Tacoma WA11$12,590$14,894$16,399$10,356–$28,265
South Carolina (statewide)19$10,597$13,246$16,223$3,785–$20,079
South Dakota (statewide)3———$4,300–$20,747
St. Louis MO4———$8,281–$8,654
Tampa FL6$8,870$8,870$9,468$8,870–$15,523
Tennessee (statewide)24$5,126$5,463$7,469$3,280–$12,729
Texas (statewide)77$6,451$8,465$9,560$3,300–$20,580
Utah (statewide)5$3,822$3,822$4,870$3,635–$13,495
Vermont (statewide)1———$10,640–$10,640
Virginia (statewide)20$11,067$18,049$19,156$8,137–$21,940
Washington (statewide)9$14,428$16,978$18,271$6,594–$28,030
Washington DC9$6,507$6,895$6,895$6,100–$6,895
West Virginia (statewide)8$10,348$10,859$22,098$6,926–$43,099
Wisconsin (statewide)35$7,338$10,492$10,678$6,324–$20,004

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Southeast Health Medical CenterAlabama (statewide)$3,0540.6×12026-03-10
Norton HospitalKentucky (statewide)$3,1200.5×12026-02-11
King'S Daughters' Medical CenterKentucky (statewide)$3,1240.5×22026-09-25
St Mary Medical CenterPennsylvania (statewide)$3,2200.5×192026-03-31
Livingston Regional HospitalTennessee (statewide)$3,2800.6×22026-04-01
Peterson Regional Medical CenterTexas (statewide)$3,3000.5×12026-08-17
Holland HospitalMichigan (statewide)$3,3650.5×22026-09-21
Helen Newberry Joy HospitalMichigan (statewide)$3,3650.5×12026-09-02
North Carolina Specialty HospitalResearch Triangle NC$3,3660.5×12026-02-25
Morgan Medical CenterGeorgia (statewide)$3,4000.5×12026-07-28
Ascension Seton Medical Center AustinAustin TX$3,4000.5×12026-01-01
Dell Seton Med Center At The University Of TxAustin TX$3,4000.5×12026-01-01
Franciscan Health MooresvilleIndianapolis IN$29,0534.2×32026-01-01
Mainehealth Pen Bay HospitalMaine (statewide)$29,3264.6×12025-09-09
Northern Light Mercy HospitalMaine (statewide)$29,6844.5×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$29,6844.7×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$29,6844.7×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$29,6844.7×22026-03-30
Lehigh Valley Hospital - MacungiePennsylvania (statewide)$29,7804.5×82026-07-01
Mainehealth Waldo HospitalMaine (statewide)$30,6574.8×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$31,2644.9×22026-03-30
Providence Medford Medical CenterOregon (statewide)$36,1254.8×12026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$37,3205.9×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$43,0996.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 49594: Ventral (Incisional) Hernia Repair

1126 hospitals in 80 markets. National Medicare rate $6,176, surgery center $3,031.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$5,878$6,667$7,811$2,986–$10,727
Alaska (statewide)3———$8,982–$24,700
Arizona (statewide)11$6,557$8,187$10,969$3,760–$16,051
Arkansas (statewide)8$5,341$6,520$7,265$5,000–$9,351
Atlanta GA6$7,797$7,797$13,219$7,797–$15,026
Austin TX13$5,004$9,282$9,299$5,004–$9,618
Boston MA13$6,605$8,118$8,708$5,790–$9,942
California (statewide)66$8,070$13,353$21,413$4,474–$31,014
Charlotte NC5$6,936$6,936$6,936$6,842–$6,936
Chicago IL9$8,254$8,969$14,716$6,180–$16,105
Cleveland OH10$7,560$8,883$9,834$6,291–$11,049
Colorado (statewide)14$7,732$9,368$11,516$3,704–$13,682
Columbus OH1———$21,745–$21,745
Connecticut (statewide)2———$6,002–$25,188
Dallas-Fort Worth TX12$9,960$12,471$14,494$9,880–$25,008
Denver CO15$9,265$9,756$10,585$6,390–$16,294
Detroit MI14$5,151$5,369$5,404$4,087–$7,434
Florida (statewide)63$6,221$8,636$12,975$3,327–$28,358
Georgia (statewide)31$6,850$8,527$15,026$3,200–$25,118
Hawaii (statewide)7$8,543$8,902$10,288$7,803–$12,936
Houston TX15$8,214$10,133$10,383$7,650–$11,539
Idaho (statewide)15$5,912$13,373$14,876$4,277–$19,856
Illinois (statewide)30$7,055$10,493$13,795$5,580–$17,333
Indiana (statewide)34$11,060$13,860$22,582$5,834–$35,006
Indianapolis IN2———$25,148–$27,131
Iowa (statewide)16$7,662$10,082$11,974$6,176–$14,329
Kansas (statewide)15$5,428$7,046$10,580$3,919–$24,700
Kentucky (statewide)11$6,072$7,086$8,666$3,120–$10,420
Las Vegas NV2———$4,762–$5,346
Los Angeles CA17$10,671$11,098$14,377$10,108–$28,632
Louisiana (statewide)20$5,986$7,047$9,063$5,303–$15,407
Maine (statewide)17$23,906$26,842$27,754$6,402–$34,895
Maryland (statewide)1———$8,540–$8,540
Massachusetts (statewide)5$5,790$5,798$7,400$5,790–$8,257
Miami-Fort Lauderdale FL1———$10,893–$10,893
Michigan (statewide)29$4,718$6,024$6,558$3,031–$8,290
Minneapolis-St. Paul MN8$8,828$8,918$10,482$6,330–$12,558
Minnesota (statewide)11$11,114$15,494$18,214$8,149–$21,332
Mississippi (statewide)22$6,508$7,808$8,792$4,446–$16,488
Missouri (statewide)23$8,168$9,107$11,176$3,523–$23,158
Montana (statewide)5$12,252$13,676$17,007$11,669–$20,536
Nashville TN7$5,768$5,768$8,508$5,597–$12,026
Nebraska (statewide)3———$5,346–$14,226
Nevada (statewide)6$5,201$8,427$12,001$5,153–$14,121
New Hampshire (statewide)6$15,840$19,252$21,724$11,248–$27,072
New Jersey (statewide)23$7,140$8,852$12,016$6,375–$19,167
New Mexico (statewide)10$7,552$12,876$20,688$6,157–$35,964
New York (statewide)33$6,904$8,371$12,969$4,679–$19,890
New York City7$6,904$8,813$10,980$6,904–$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)38$9,600$13,363$18,080$4,665–$23,237
Oklahoma (statewide)11$6,176$12,229$13,819$4,676–$15,638
Oregon (statewide)9$14,941$16,322$20,669$5,614–$33,735
Pennsylvania (statewide)47$6,447$12,522$18,943$3,220–$27,810
Philadelphia PA11$5,869$8,162$10,143$5,567–$13,449
Phoenix AZ6$7,053$7,053$7,424$7,053–$7,547
Pittsburgh PA9$5,708$10,577$12,206$5,079–$14,684
Portland OR9$17,690$17,690$25,081$15,718–$25,081
Research Triangle NC1———$4,932–$4,932
Rhode Island (statewide)4———$6,688–$17,322
Richmond VA3———$11,102–$11,102
Rio Grande Valley TX6$7,932$8,301$8,694$7,856–$8,778
Salt Lake City UT9$6,346$6,562$6,562$5,253–$6,779
San Antonio TX3———$7,122–$9,545
San Diego CA7$13,218$13,218$13,304$10,886–$14,338
San Francisco Bay Area CA6$10,374$11,129$16,963$10,217–$29,119
Seattle-Tacoma WA11$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 MO4———$8,281–$8,654
Tampa FL6$12,975$12,975$12,975$11,995–$15,523
Tennessee (statewide)23$5,764$6,168$7,248$3,794–$11,902
Texas (statewide)74$6,200$9,648$12,301$3,300–$29,489
Utah (statewide)7$5,451$6,346$6,454$5,253–$19,858
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 DC9$11,070$11,070$11,070$8,108–$11,120
West Virginia (statewide)9$10,099$10,182$19,734$6,476–$40,248
Wisconsin (statewide)34$10,097$12,996$13,397$6,106–$19,118

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$2,9860.6×12026-04-30
Holland HospitalMichigan (statewide)$3,0310.5×22026-09-21
Helen Newberry Joy HospitalMichigan (statewide)$3,0310.5×12026-09-02
Norton HospitalKentucky (statewide)$3,1200.5×12026-02-11
Morgan Medical CenterGeorgia (statewide)$3,2000.5×12026-07-28
St Mary Medical CenterPennsylvania (statewide)$3,2200.6×192026-03-31
Peterson Regional Medical CenterTexas (statewide)$3,3000.5×12026-08-17
Uf Health Leesburg HospitalFlorida (statewide)$3,3270.5×12026-03-31
Ennis Regional Medical CenterTexas (statewide)$3,3480.6×12026-04-01
Oaklawn HospitalMichigan (statewide)$3,3800.6×22026-03-27
Usa Health University HospitalAlabama (statewide)$3,4640.6×12026-04-30
Nazareth HospitalPennsylvania (statewide)$3,5150.6×182026-03-31
Providence Centralia HospitalWashington (statewide)$30,4944.5×32026-04-01
Same Day Surgery Center LlcSouth Dakota (statewide)$30,5294.9×22026-09-10
Mission Community HospitalCalifornia (statewide)$31,0144.0×12026-09-01
Parkview Whitley HospitalIndiana (statewide)$31,0824.9×12026-09-01
Parkview Noble HospitalIndiana (statewide)$32,8845.1×12026-09-01
Parkview Wabash Hospital, IncIndiana (statewide)$33,0965.2×12026-09-01
Providence Medford Medical CenterOregon (statewide)$33,7354.8×12026-04-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$34,1186.1×12026-07-20
Mainehealth Lincoln HospitalMaine (statewide)$34,8955.9×12025-09-09
Parkview Huntington HospitalIndiana (statewide)$35,0065.5×12026-09-01
Memorial Medical CenterNew Mexico (statewide)$35,9646.0×12026-07-10
Logan Regional Medical CenterWest Virginia (statewide)$40,2486.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 49595: Ventral (Incisional) Hernia Repair

1016 hospitals in 77 markets. National Medicare rate $6,614, surgery center $3,365.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$6,068$6,950$7,814$3,054–$11,472
Alaska (statewide)3———$9,619–$20,318
Arizona (statewide)10$6,232$7,428$7,719$4,714–$14,869
Arkansas (statewide)6$4,573$5,324$5,712$3,476–$7,495
Atlanta GA6$6,689$6,689$8,008$6,689–$8,448
Austin TX13$3,400$5,584$5,584$3,400–$8,918
Boston MA10$6,475$6,765$7,580$4,858–$8,840
California (statewide)59$8,306$15,406$21,012$4,755–$28,366
Charlotte NC5$7,418$7,418$7,418$7,317–$7,418
Chicago IL8$6,250$8,071$10,219$4,035–$11,102
Cleveland OH10$6,637$6,898$10,341$6,092–$11,832
Colorado (statewide)14$5,921$7,412$7,602$3,830–$12,400
Connecticut (statewide)1———$6,002–$6,002
Dallas-Fort Worth TX12$8,848$9,045$9,574$7,942–$16,096
Denver CO15$5,415$7,122$7,492$4,975–$11,080
Detroit MI11$3,648$3,648$6,132$3,648–$10,003
Florida (statewide)61$6,802$8,072$10,089$3,694–$28,358
Georgia (statewide)30$5,820$7,430$8,952$3,400–$18,982
Hawaii (statewide)5$8,136$9,712$11,138$8,067–$12,936
Houston TX15$5,814$7,316$8,724$5,780–$12,356
Idaho (statewide)15$7,752$10,482$13,118$3,542–$15,849
Illinois (statewide)28$6,543$8,662$10,402$5,282–$18,538
Indiana (statewide)23$7,162$13,052$15,434$4,857–$20,888
Iowa (statewide)14$10,112$11,184$13,472$6,824–$19,646
Kansas (statewide)12$4,938$7,052$8,476$3,812–$20,318
Kentucky (statewide)9$5,284$5,650$6,707$3,120–$8,641
Las Vegas NV2———$4,072–$6,896
Los Angeles CA17$8,723$9,950$14,312$6,423–$19,724
Louisiana (statewide)20$5,712$6,344$8,061$4,023–$11,994
Maine (statewide)16$25,568$29,016$29,684$13,818–$37,320
Maryland (statewide)1———$4,428–$4,428
Massachusetts (statewide)5$3,935$5,127$5,611$3,935–$5,968
Miami-Fort Lauderdale FL2———$8,346–$11,650
Michigan (statewide)23$4,321$5,316$6,451$3,365–$9,776
Minneapolis-St. Paul MN8$5,234$5,592$7,380$5,022–$13,431
Minnesota (statewide)12$6,044$10,275$12,372$3,680–$16,570
Mississippi (statewide)14$6,076$8,096$10,158$4,736–$17,656
Missouri (statewide)16$8,432$9,292$10,390$5,182–$11,768
Montana (statewide)5$12,480$13,103$14,644$11,557–$18,594
Nashville TN7$5,493$5,768$7,624$3,942–$10,124
Nebraska (statewide)2———$4,072–$7,120
Nevada (statewide)5$4,459$4,459$12,323$4,072–$15,121
New Hampshire (statewide)6$13,236$15,264$19,750$11,153–$28,990
New Jersey (statewide)23$7,240$7,770$10,724$6,913–$20,525
New Mexico (statewide)8$6,969$12,540$19,223$4,250–$24,439
New York (statewide)32$7,326$9,753$13,952$4,719–$18,981
New York City9$9,753$9,753$12,252$6,816–$13,586
North Carolina (statewide)5$7,586$8,541$14,525$6,613–$16,034
North Dakota (statewide)3———$6,109–$7,905
Ohio (statewide)36$7,716$12,862$15,576$3,500–$24,883
Oklahoma (statewide)9$6,614$10,608$13,088$4,438–$15,256
Oregon (statewide)8$13,472$15,012$18,204$6,011–$36,125
Pennsylvania (statewide)37$7,647$12,007$17,403$3,220–$29,780
Philadelphia PA11$5,810$7,712$8,882$5,527–$13,320
Phoenix AZ6$4,745$4,839$4,839$4,714–$4,839
Pittsburgh PA7$8,694$12,671$13,360$4,977–$15,705
Portland OR9$13,975$13,975$24,695$13,860–$24,695
Rhode Island (statewide)4———$6,717–$12,989
Richmond VA3———$9,000–$9,000
Rio Grande Valley TX5$5,849$6,272$8,413$5,849–$8,736
Salt Lake City UT9$7,292$7,292$7,292$7,051–$7,532
San Antonio TX3———$6,768–$7,617
San Diego CA3———$11,657–$15,354
San Francisco Bay Area CA6$9,412$11,427$11,530$8,356–$22,517
Seattle-Tacoma WA11$12,590$14,894$16,399$10,356–$28,265
South Carolina (statewide)19$10,597$13,246$16,223$3,785–$20,079
South Dakota (statewide)3———$4,300–$20,747
St. Louis MO3———$8,281–$8,654
Tampa FL6$8,870$8,870$9,468$8,870–$15,523
Tennessee (statewide)22$4,886$5,460$7,323$3,280–$12,729
Texas (statewide)66$6,374$8,519$9,560$3,300–$20,580
Utah (statewide)4———$5,249–$7,292
Virginia (statewide)20$11,067$18,440$19,471$8,137–$21,940
Washington (statewide)9$14,428$16,978$18,271$6,594–$28,030
Washington DC9$6,507$6,895$6,895$6,100–$6,895
West Virginia (statewide)7$9,881$10,904$23,153$6,926–$43,099
Wisconsin (statewide)33$9,158$10,492$10,865$6,324–$20,004

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Southeast Health Medical CenterAlabama (statewide)$3,0540.6×12026-03-10
Norton HospitalKentucky (statewide)$3,1200.5×12026-02-11
King'S Daughters' Medical CenterKentucky (statewide)$3,1240.5×22026-09-25
St Mary Medical CenterPennsylvania (statewide)$3,2200.5×192026-03-31
Livingston Regional HospitalTennessee (statewide)$3,2800.6×22026-04-01
Peterson Regional Medical CenterTexas (statewide)$3,3000.5×12026-08-17
Holland HospitalMichigan (statewide)$3,3650.5×22026-09-21
Morgan Medical CenterGeorgia (statewide)$3,4000.5×12026-07-28
Ascension Seton Medical Center AustinAustin TX$3,4000.5×12026-01-01
Dell Seton Med Center At The University Of TxAustin TX$3,4000.5×12026-01-01
Ascension Seton SouthwestAustin TX$3,4000.5×12026-01-01
Ascension Seton NorthwestAustin TX$3,4000.5×12026-01-01
Elliot HospitalNew Hampshire (statewide)$28,9904.2×12026-04-01
Mainehealth Pen Bay HospitalMaine (statewide)$29,3264.6×12025-09-09
Northern Light Mercy HospitalMaine (statewide)$29,6844.5×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$29,6844.7×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$29,6844.7×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$29,6844.7×22026-03-30
Lehigh Valley Hospital - MacungiePennsylvania (statewide)$29,7804.5×82026-07-01
Mainehealth Waldo HospitalMaine (statewide)$30,6574.8×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$31,2644.9×22026-03-30
Providence Medford Medical CenterOregon (statewide)$36,1254.8×12026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$37,3205.9×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$43,0996.9×12026-04-01

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.

MarketHospitals25th pctMedian75th pctLow–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 GA10$24,057$25,738$26,572$24,057–$39,247
Austin TX13$8,484$12,013$14,790$7,606–$16,630
Boston MA13$11,467$12,441$14,338$9,538–$22,464
California (statewide)53$15,540$19,102$24,422$8,452–$95,899
Charlotte NC8$20,300$21,984$26,293$15,088–$26,293
Chicago IL10$16,625$19,171$22,052$12,661–$25,017
Cleveland OH11$16,656$17,944$18,516$13,948–$23,886
Colorado (statewide)16$17,667$25,664$31,101$8,241–$42,288
Columbus OH2———$27,338–$36,042
Connecticut (statewide)6$24,768$25,110$25,580$16,238–$28,468
Dallas-Fort Worth TX15$13,636$14,452$17,862$12,038–$29,988
Delaware (statewide)1———$29,771–$29,771
Denver CO15$15,002$17,552$26,715$11,388–$35,186
Detroit MI16$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 TX19$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 IN5$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 NV1———$21,839–$21,839
Los Angeles CA18$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 FL3———$13,937–$22,940
Michigan (statewide)37$16,118$18,076$22,906$10,412–$31,783
Minneapolis-St. Paul MN15$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 TN8$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 City8$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 PA11$22,960$24,672$27,917$22,262–$39,980
Phoenix AZ11$22,058$22,058$23,504$21,175–$25,264
Pittsburgh PA7$17,210$18,222$20,436$14,102–$23,710
Portland OR9$27,769$30,060$34,711$26,812–$34,711
Research Triangle NC9$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 VA7$15,546$26,028$29,732$13,537–$32,361
Rio Grande Valley TX6$14,904$16,214$16,422$13,975–$20,652
Salt Lake City UT9$24,025$24,025$24,025$23,786–$24,025
San Antonio TX3———$11,632–$34,706
San Diego CA8$16,920$19,574$22,638$15,773–$22,717
San Francisco Bay Area CA2———$16,426–$25,044
Seattle-Tacoma WA16$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 MO7$17,762$17,762$17,762$6,873–$23,545
Tampa FL11$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 DC11$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

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stormont Vail Health Flint Hills, LlcKansas (statewide)$5,6920.7×32025-12-19
Memorial Medical CenterTexas (statewide)$6,1280.6×12026-09-14
Mccone County Health CenterMontana (statewide)$6,3640.7×12026-01-01
Mercy Hospital SouthSt. Louis MO$6,8730.7×12026-06-10
Ascension ProvidenceTexas (statewide)$7,3620.8×42026-01-01
Peterson Regional Medical CenterTexas (statewide)$7,3830.8×12026-08-17
Grand Itasca Clinic And HospitalMinnesota (statewide)$7,3840.8×12026-01-28
Dell Seton Med Center At The University Of TxAustin TX$7,6060.8×22026-01-01
Ascension Seton Highland LakesTexas (statewide)$7,6060.8×22026-01-01
Ascension Seton Edgar B DavisTexas (statewide)$7,6060.8×22026-01-01
Dell Children'S Medical CenterTexas (statewide)$7,6060.8×22026-01-01
Cedar Park Regional Medical CenterAustin TX$7,6060.8×22026-01-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$41,4123.4×92026-01-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$42,2884.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$42,7473.5×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$44,0794.1×42026-04-01
Providence Medical CenterKansas (statewide)$44,0794.9×42026-04-01
Carilion New River Valley Medical CenterVirginia (statewide)$44,3374.8×12025-12-15
Providence St Joseph Medical CenterMontana (statewide)$46,3624.7×12026-04-01
Taylorville Memorial HospitalIllinois (statewide)$50,3014.9×12026-09-17
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$51,6644.1×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$51,7614.1×12026-03-12
Providence Centralia HospitalWashington (statewide)$56,4495.2×22026-04-01
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$95,8997.6×12026-03-12

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.

MarketHospitals25th pctMedian75th pctLow–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 GA10$30,698$32,194$33,238$30,698–$50,082
Austin TX13$10,612$14,584$18,056$9,063–$23,772
Boston MA14$14,483$15,792$20,008$11,931–$34,905
California (statewide)53$19,023$23,769$30,852$10,785–$104,930
Charlotte NC8$25,900$28,050$32,889$18,873–$32,889
Chicago IL10$21,102$24,462$28,010$16,156–$31,293
Cleveland OH11$20,833$22,982$23,698$17,600–$31,704
Colorado (statewide)16$22,099$32,640$38,902$10,308–$52,896
Columbus OH2———$29,840–$34,196
Connecticut (statewide)6$24,966$28,736$32,189$16,238–$37,345
Dallas-Fort Worth TX15$16,405$19,030$22,053$14,794–$38,263
Delaware (statewide)2———$22,757–$35,702
Denver CO15$19,400$21,954$33,416$14,024–$44,388
Detroit MI17$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 TX19$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 IN6$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 NV2———$27,865–$32,652
Los Angeles CA18$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 FL3———$16,999–$28,695
Michigan (statewide)37$20,033$22,340$28,491$13,258–$37,646
Minneapolis-St. Paul MN15$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 TN8$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 City8$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 PA11$29,441$31,377$36,142$27,872–$50,373
Phoenix AZ11$28,004$28,004$31,108$27,019–$33,562
Pittsburgh PA7$20,928$22,204$24,850$16,882–$28,629
Portland OR9$34,213$36,248$44,293$34,128–$44,293
Research Triangle NC9$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 VA7$19,445$36,077$39,392$16,818–$42,072
Rio Grande Valley TX6$18,023$19,242$20,304$16,785–$24,838
Salt Lake City UT9$33,541$33,541$33,541$33,208–$33,541
San Antonio TX3———$14,351–$39,146
San Diego CA7$20,504$24,073$26,266$19,488–$28,172
San Francisco Bay Area CA2———$20,012–$31,957
Seattle-Tacoma WA16$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 MO7$22,205$22,205$22,205$8,597–$30,059
Tampa FL11$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 DC11$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

HospitalMarketMedian across insurers× MedicareInsurersFile date
Stormont Vail Health Flint Hills, LlcKansas (statewide)$7,1200.7×32025-12-19
Memorial Medical CenterTexas (statewide)$7,7380.6×12026-09-14
Ascension ProvidenceTexas (statewide)$7,8340.7×32026-01-01
Baylor Scott And White Medical Center Frisco At PgTexas (statewide)$8,0960.7×32025-01-31
Mccone County Health CenterMontana (statewide)$8,1200.7×12026-01-01
Schneck Medical CenterIndiana (statewide)$8,4800.7×32024-01-24
Northern Cochise Community Hospital, Inc.Arizona (statewide)$8,5390.7×12026-07-29
Mercy Hospital SouthSt. Louis MO$8,5970.7×12026-06-10
Dell Seton Med Center At The University Of TxAustin TX$9,0630.8×12026-01-01
Ascension Seton Highland LakesTexas (statewide)$9,0630.8×12026-01-01
Ascension Seton Edgar B DavisTexas (statewide)$9,0630.8×12026-01-01
Dell Children'S Medical CenterTexas (statewide)$9,0630.8×12026-01-01
Garnet Health Medical Center CatskillsNew York (statewide)$51,8913.4×82026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$52,8964.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$54,5483.6×102026-04-01
Carilion New River Valley Medical CenterVirginia (statewide)$55,4594.8×12025-12-15
Providence Alaska Medical CenterAlaska (statewide)$56,2464.2×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$59,1904.8×12026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$62,6184.0×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$64,7734.1×12026-03-12
Wilcox Memorial HospitalHawaii (statewide)$70,2364.9×22026-02-12
Providence Centralia HospitalWashington (statewide)$71,7175.3×22026-04-01
Taylorville Memorial HospitalIllinois (statewide)$95,0167.4×12026-09-17
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$104,9306.7×12026-03-12

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 ventral (incisional) hernia repair?

Across 1123 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 49593, hospital outpatient is $8,665, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,449 to $12,742. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for ventral (incisional) hernia repair?

Medicare's national hospital outpatient rate for CPT 49593 is $6,614 and its surgery-center rate is $3,365, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for ventral (incisional) hernia repair?

Lowest medians: Southeast Health Medical Center ($3,054), Norton Hospital ($3,120), King'S Daughters' Medical Center ($3,124). Highest: Logan Regional Medical Center ($43,099), Mainehealth Lincoln Hospital ($37,320), Providence Medford Medical Center ($36,125). Coverage: every hospital whose price file we could read.