Surgery and procedures CPT 49591 Outpatient

Umbilical/ventral hernia repair cost in Cleveland, OH

In Cleveland, OH, 3 hospitals list a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm: from $1,704.30 to $16,636.38, with a median of $5,524.50. The lowest listed price is at The Cleveland Clinic Foundation — $3,820.20 less than the median here. Across Ohio, the median is $16,411.92 at 34 hospitals.

Cash prices at 3 facilities across 3 cities for code 49591, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jun 16, 2026.

Lowest$1,704.30The Cleveland Clinic Foundation
Median$5,524.50half pay less
Highest$16,636.38in this market
Difference9.8×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Cleveland, OH.

median
Lowest $1,704.30Highest $16,636.38

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Cleveland Clinic Foundation lowest Cleveland, OH · (216) 952-9829 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $1,704.30 $2,622.00 $1.10–$10,089.06 35% Jun 16, 2026
source file
Summa Health System Akron, OH · (330) 375-3000 Hc Asc Rpr Aa Hrn 1St < 3 Cm Rdc $5,524.50 $5,524.50 — — Apr 1, 2026
source file
Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 Rpr Aa Hernia 1st < 3 Cm Reducible $16,636.38 $27,727.30 $3,387.33–$3,455.08 40% —
source file

Outpatient: lowest $1,704.30, median $5,524.50, highest $16,636.38 — a 9.8× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $3,006.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the first repair of a hernia in the front wall of the abdomen, such as an umbilical (belly button), ventral or incisional hernia, when the total defect is under 3 cm and the tissue can be pushed back in. The code applies to open, laparoscopic or robotic repair.

What the price covers

The facility price covers the operating room and recovery; for this code, mesh placement is part of the repair, though the mesh itself may be listed as a supply. The surgeon's fee and anesthesia are billed separately.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 49591 ($3,169.20). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Metrohealth System Cleveland, OHRepair Ant Abd Hernia, Any Approach, Initial, <3 Cm, Reducible $194.94 file