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Ventral (incisional) hernia repair in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 49593

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $10,932 · local Medicare $8,081 · file 2026-04-01
1199SEIU$12,8321.6×1
Aetna$24,4703.0×2
Cigna$9,0321.1×2
Elevance/Anthem/Empire$8,2321.0×7
EmblemHealth$13,6281.7×4
Healthfirst$6,8690.9×1
Oscar$6,6020.8×1
UnitedHealthcare$15,1081.9×4
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $13,586 · local Medicare $8,081 · file 2026-01-01
1199SEIU$20,4152.5×3
Aetna$16,6242.1×24
BCBS (other)$13,5861.7×16
Cigna$6,4870.8×22
Elevance/Anthem/Empire$13,5861.7×32
EmblemHealth$8,4271.0×69
UnitedHealthcare$14,6181.8×24

CPT 49594

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $12,522 · local Medicare $7,547 · file 2026-04-01
1199SEIU$12,8321.7×1
Aetna$24,4703.2×2
Cigna$16,2032.1×3
Elevance/Anthem/Empire$10,6801.4×11
EmblemHealth$12,2111.6×6
Healthfirst$6,4150.9×1
Oscar$6,6020.9×1
UnitedHealthcare$21,9082.9×5
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $14,618 · local Medicare $7,547 · file 2026-01-01
1199SEIU$20,4152.7×3
Aetna$11,0801.5×24
BCBS (other)$18,6172.5×16
Cigna$6,4870.9×22
Elevance/Anthem/Empire$18,6172.5×32
EmblemHealth$8,4271.1×69
UnitedHealthcare$14,6181.9×24

CPT 49595

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $10,622 · local Medicare $8,081 · file 2026-04-01
1199SEIU$12,8321.6×1
Aetna$24,4703.0×2
Cigna$9,0321.1×3
Elevance/Anthem/Empire$8,0101.0×10
EmblemHealth$12,2111.5×6
Healthfirst$6,8690.9×1
Oscar$6,6020.8×1
UnitedHealthcare$15,1081.9×5
Hospital for Special Surgery median $12,252 · local Medicare $8,081 · file 2026-04-01
Aetna$12,5111.5×17
BCBS (other)$10,5261.3×3
Cigna$12,2451.5×13
Elevance/Anthem/Empire$12,2601.5×10
EmblemHealth$12,3431.5×14
UnitedHealthcare$12,1771.5×25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $13,586 · local Medicare $8,081 · file 2026-01-01
1199SEIU$20,4152.5×3
Aetna$16,6242.1×24
BCBS (other)$13,5861.7×16
Cigna$6,4870.8×22
Elevance/Anthem/Empire$13,5861.7×32
EmblemHealth$8,4271.0×69
UnitedHealthcare$14,6181.8×24

MS-DRG 355

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $13,106 · local Medicare $12,173 · file 2026-04-01
EmblemHealth$13,1061.1×1
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $43,165 · local Medicare $12,173 · file 2026-01-01
1199SEIU$43,1653.5×3
Aetna$35,0832.9×24
BCBS (other)$55,5204.6×16
Cigna$39,0163.2×22
Elevance/Anthem/Empire$55,5204.6×32
EmblemHealth$39,6603.3×40
UnitedHealthcare$51,3794.2×24

MS-DRG 354

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $16,724 · local Medicare $15,226 · file 2026-04-01
EmblemHealth$16,7241.1×1
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $53,993 · local Medicare $15,226 · file 2026-01-01
1199SEIU$53,9933.5×3
Aetna$43,8842.9×24
BCBS (other)$69,4484.6×16
Cigna$48,8033.2×22
Elevance/Anthem/Empire$69,4484.6×32
EmblemHealth$49,6093.3×40
UnitedHealthcare$64,2684.2×24

Questions

How much does ventral (incisional) hernia repair cost with commercial insurance in New York City?

2 New York City hospitals post usable commercial rates for CPT 49593, hospital outpatient. The median across hospitals is $12,259; hospital medians range from $10,932 to $13,586. Your cost depends on your plan's deductible and coinsurance.