Surgery and procedures CPT 49591 Inpatient — admitted to hospital

Umbilical/ventral hernia repair cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm as an inpatient: from $540.85 to $1,007.10, with a median of $773.98. The lowest listed price is at Vanderbilt Wilson County Hospital — $233.13 less than the median here. Across Tennessee, the median is $2,669.26 at 12 hospitals.

Cash prices at 2 facilities across 2 cities for code 49591, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.

Lowest$540.85Vanderbilt Wilson County Hospital
Median$773.98half pay less
Highest$1,007.10in this market
Difference1.9×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $540.85Highest $1,007.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE $540.85 $1,865.00 $227.89–$1,865.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE $1,007.10 $1,865.00 $227.89–$1,865.00 46% Oct 1, 2025
source file

Inpatient: lowest $540.85, median $773.98, highest $1,007.10 — a 1.9× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $773.98 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 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.