Umbilical/ventral hernia repair cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 6 hospitals list a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm: from $626.60 to $7,610.20, with a median of $626.60. The lowest listed price is at Legacy Salmon Creek Medical Center and 4 other hospitals. Across Oregon, the median is $800.25 at 17 hospitals.
Cash prices at 6 facilities across 4 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 Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $626.60 | $964.00 | — | 35% | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $7,610.20 | $11,708.00 | $1,588.10–$12,881.48 | 35% | — source file |
Outpatient: lowest $626.60, median $626.60, highest $7,610.20 — a 12.1× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $626.60. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.