Repair of an abdominal wall hernia under 3 cm (the codes that replaced umbilical/ventral hernia codes in 2023): reducible (49591) or incarcerated (49592). What Medicare pays in each setting, in every state, and where it costs less.
Repair of an abdominal wall hernia under 3 cm (the codes that replaced umbilical/ventral hernia codes in 2023): reducible (49591) or incarcerated (49592).
Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it
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Medicare's 2026 national price for umbilical or small abdominal wall hernia repair is $2,060 at surgery center; $3,974 at hospital outpatient; $10,103 at hospital stay. Prices vary by area; private insurance usually pays more.
Usually at surgery center ($2,060) rather than hospital stay ($10,103), about $8,043 less for the same service at Medicare's national rates.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.