Surgery and procedures CPT 49591 Outpatient

Umbilical/ventral hernia repair cost in Kansas City, MO

In Kansas City, MO-KS, 3 hospitals list a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm: from $460.32 to $3,568.00, with a median of $460.32. The lowest listed price is at Children's Mercy Hospital Kansas and 1 other hospital. Across Missouri, the median is $5,852.83 at 19 hospitals.

Cash prices at 3 facilities across 2 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 Mar 17, 2026 and Mar 17, 2026.

Lowest$460.32Children's Mercy Hospital Kansas + 1 more
Median$460.32half pay less
Highest$3,568.00in this market
Difference7.8×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 Kansas City, MO-KS.

median
Lowest $460.32Highest $3,568.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Children's Mercy Hospital Kansas lowest Overland Park, KS · (913) 696-8000 RPR AA HERNA 1ST LESS THN 3 CM REDUC $460.32 $959.00 $226.61–$843.92 52% —
source file
Children's Mercy Hospital lowest Kansas City, MO · (816) 234-3000 RPR AA HERNA 1ST LESS THN 3 CM REDUC $460.32 $959.00 $226.61–$843.92 52% —
source file
St Joseph Medical Center Kansas City, MO · (816) 942-4400 Rpr Aa Hrn 1St < 3 Cm Rdc $3,568.00 $15,391.20 $2,302.25–$15,391.20 77% Mar 17, 2026
source file

Outpatient: lowest $460.32, median $460.32, highest $3,568.00 — a 7.8× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $460.32. 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 3 of 3 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.