Surgery and procedures CPT 49591 Outpatient

Umbilical/ventral hernia repair cost in Wheeling, WV

In Wheeling, WV-OH, 2 hospitals list a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm: from $387.00 to $3,237.50, with a median of $1,812.25. The lowest listed price is at Barnesville Hospital Association — $1,425.25 less than the median here. Across West Virginia, the median is $1,997.83 at 14 hospitals.

Cash prices at 2 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 Jul 9, 2026 and Jul 9, 2026.

Lowest$387.00Barnesville Hospital Association
Median$1,812.25half pay less
Highest$3,237.50in this market
Difference8.4×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 Wheeling, WV-OH.

median
Lowest $387.00Highest $3,237.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Barnesville Hospital Association lowest Barnesville, OH · (740) 425-3941 RPR AA HRN 1ST < 3 CM RDC $387.00 $774.00 $4,748.00 50% —
source file
Wheeling Hospital Wheeling, WV · (304) 243-3000 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 $3,237.50 $6,475.00 $205.80–$14,600.25 50% Jul 9, 2026
source file

Outpatient: lowest $387.00, median $1,812.25, highest $3,237.50 — a 8.4× difference within the same market.

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 1 it is 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.