Surgery and procedures CPT 49591 383 markets

Umbilical/ventral hernia repair cost without insurance

The median hospital cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm is $5,198.69 across 670 US hospitals; most list between $990.00 and $15,335.80. The lowest outpatient cash price in any of 383 markets is $341.80. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file All Hernia repair costs

Lowest$341.80any market
Median market$5,219.85middle of market medians
Most below$15,335.809 in 10 hospitals
Listings665hospital prices

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for umbilical/ventral hernia repair, the highest negotiated rate in a hospital's file has a median of $9,055.49 and the lowest a median of $1,305.55. At 488 of 614 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 49591?

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.

Why prices differ

Prices differ between hospital outpatient departments and surgery centers, with the surgical approach, and with anesthesia type.

What to ask

Ask whether the self-pay price for CPT 49591 includes the mesh, anesthesia and surgeon's fee.

Prices by state

Among 37 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($483.20), Oregon ($1,301.25) and Wisconsin ($2,114.00), and highest in Ohio ($16,411.92), South Carolina ($16,252.75) and Arizona ($15,269.89).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Abilene, TX 2 $3,034.06 $3,034.06 $3,034.06 1.0×
Akron, OH 1 $5,524.50 $5,524.50 $5,524.50 1.0×
Albemarle, NC 1 $4,688.00 $4,688.00 $4,688.00 1.0×
Albuquerque, NM 2 $2,790.41 $8,187.44 $13,584.46 4.9×
Allentown-Bethlehem-Easton, PA-NJ 1 $4,709.06 $4,709.06 $4,709.06 1.0×
Alliance, NE single city 1 $5,240.80 $5,240.80 $5,240.80 1.0×
Alma, NE single city 1 $2,336.00 $2,336.00 $2,336.00 1.0×
Alturas, CA single city 1 $2,948.21 $2,948.21 $2,948.21 1.0×
Anchorage, AK 2 $7,301.00 $10,780.71 $14,260.41 2.0×
Anderson Creek, NC 1 $3,745.80 $3,745.80 $3,745.80 1.0×
Appleton, WI 3 $515.85 $2,114.00 $2,114.00 4.1×
Arcadia, FL 1 $5,849.09 $5,849.09 $5,849.09 1.0×
Arkadelphia, AR 1 $2,097.03 $2,097.03 $2,097.03 1.0×
Arkansas City-Winfield, KS 1 $11,435.22 $11,435.22 $11,435.22 1.0×
Astoria, OR 1 $990.00 $990.00 $990.00 1.0×
Athens, TN 1 $5,421.81 $5,421.81 $5,421.81 1.0×
Atlanta-Sandy Springs-Roswell, GA 12 $3,573.00 $8,241.00 $8,241.00 2.3×
Atlantic City-Hammonton, NJ 1 $4,632.44 $4,632.44 $4,632.44 1.0×
Auburn-Opelika, AL 1 $4,748.70 $4,748.70 $4,748.70 1.0×
Austin-Round Rock-San Marcos, TX 1 $3,325.16 $3,325.16 $3,325.16 1.0×
Bakersfield-Delano, CA 1 $13,680.40 $13,680.40 $13,680.40 1.0×
Bangor, ME 1 $747.58 $747.58 $747.58 1.0×
Baraboo, WI 1 $935.92 $935.92 $935.92 1.0×
Baton Rouge, LA 1 $7,692.30 $7,692.30 $7,692.30 1.0×
Bay City, MI 1 $6,006.28 $6,006.28 $6,006.28 1.0×
Beatrice, NE 1 $754.00 $754.00 $754.00 1.0×
Beaumont-Port Arthur, TX 1 $3,539.17 $3,539.17 $3,539.17 1.0×
Beckley, WV 2 $7,029.75 $9,127.55 $11,225.35 1.6×
Bellingham, WA 1 $20,559.28 $20,559.28 $20,559.28 1.0×
Berlin, WI single city 1 $2,114.00 $2,114.00 $2,114.00 1.0×
Bethany, MO single city 1 $3,347.50 $3,347.50 $3,347.50 1.0×
Birmingham, AL 2 $462.00 $9,645.94 $18,829.87 40.8×
Blackfoot, ID 1 $525.00 $525.00 $525.00 1.0×
Bloomington, IN 1 $3,769.00 $3,769.00 $3,769.00 1.0×
Bluefield, WV-VA 2 $4,925.25 $10,143.64 $15,362.03 3.1×
Boise City, ID 4 $8,630.00 $8,791.64 $14,142.04 1.6×
Bonifay, FL single city 1 $361.35 $361.35 $361.35 1.0×
Bonners Ferry, ID single city 1 $5,668.00 $5,668.00 $5,668.00 1.0×
Boston-Cambridge-Newton, MA-NH 2 $2,782.80 $5,060.30 $7,337.80 2.6×
Bozeman, MT 2 $483.20 $483.20 $483.20 1.0×
Brookhaven, MS 1 $3,033.90 $3,033.90 $3,033.90 1.0×
Brownsville-Harlingen, TX 1 $3,579.00 $3,579.00 $3,579.00 1.0×
Buckhannon, WV single city 1 $3,080.00 $3,080.00 $3,080.00 1.0×
Buffalo-Cheektowaga, NY 2 $472.56 $2,629.23 $4,785.90 10.1×
Burlington, KS single city 1 $512.61 $512.61 $512.61 1.0×
Burlington-South Burlington, VT 1 $4,713.23 $4,713.23 $4,713.23 1.0×
Cambridge, NE single city 1 $637.20 $637.20 $637.20 1.0×
Cape Coral-Fort Myers, FL 4 $5,375.22 $13,433.17 $14,388.99 2.7×
Carlsbad-Artesia, NM 1 $4,242.99 $4,242.99 $4,242.99 1.0×
Carroll, IA 1 $8,949.50 $8,949.50 $8,949.50 1.0×
Carrollton, MO single city 1 $772.50 $772.50 $772.50 1.0×
Casper, WY 1 $2,485.77 $2,485.77 $2,485.77 1.0×
Cass City, MI single city 1 $574.86 $574.86 $574.86 1.0×
Centerville, IA single city 1 $16,133.70 $16,133.70 $16,133.70 1.0×
Centreville, MS single city 1 $2,025.00 $2,025.00 $2,025.00 1.0×
Champaign-Urbana, IL 1 $1,492.00 $1,492.00 $1,492.00 1.0×
Charleston, WV 2 $4,465.50 $7,366.25 $10,267.00 2.3×
Charleston-North Charleston, SC 4 $10,602.67 $23,385.39 $37,382.34 3.5×
Charlotte-Concord-Gastonia, NC-SC 8 $4,688.00 $4,688.00 $4,688.00 1.0×
Chicago-Naperville-Elgin, IL-IN 18 $350.15 $7,725.20 $18,362.01 52.4×
Chico, CA 1 $4,648.00 $4,648.00 $4,648.00 1.0×
Cincinnati, OH-KY-IN 6 $9,797.06 $16,922.85 $25,723.75 2.6×
Clarksville, TN-KY 1 $6,676.71 $6,676.71 $6,676.71 1.0×
Cleveland, OH 1 $16,636.38 $16,636.38 $16,636.38 1.0×
Clinton, MO single city 1 $4,241.98 $4,241.98 $4,241.98 1.0×
Coeur d'Alene, ID 1 $12,889.00 $12,889.00 $12,889.00 1.0×
Columbus, IN 1 $10,926.47 $10,926.47 $10,926.47 1.0×
Columbus, OH 1 $56,495.67 $56,495.67 $56,495.67 1.0×
Comanche, TX single city 1 $9,050.60 $9,050.60 $9,050.60 1.0×
Coos Bay-North Bend, OR 2 $1,301.25 $2,885.33 $4,469.40 3.4×
Corsicana, TX 1 $11,193.38 $11,193.38 $11,193.38 1.0×
Coshocton, OH 1 $3,370.00 $3,370.00 $3,370.00 1.0×
Council Grove, KS single city 1 $3,260.40 $3,260.40 $3,260.40 1.0×
Crawfordsville, IN 1 $7,822.28 $7,822.28 $7,822.28 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $15,674.47 $15,674.47 $15,674.47 1.0×
Cynthiana, KY single city 1 $15,032.85 $15,032.85 $15,032.85 1.0×
Dallas-Fort Worth-Arlington, TX 7 $1,612.20 $6,082.00 $12,042.56 7.5×
Danville, VA 1 $10,378.40 $10,378.40 $10,378.40 1.0×
Daphne-Fairhope-Foley, AL 1 $23,137.81 $23,137.81 $23,137.81 1.0×
Davenport-Moline-Rock Island, IA-IL 1 $1,125.90 $1,125.90 $1,125.90 1.0×
Dayton, TN single city 1 $1,139.00 $1,139.00 $1,139.00 1.0×
Dayton-Kettering-Beavercreek, OH 2 $3,738.25 $5,619.13 $7,500.00 2.0×
Deckerville, MI single city 1 $560.12 $560.12 $560.12 1.0×
Defiance, OH 1 $36,026.62 $36,026.62 $36,026.62 1.0×
Denison, IA single city 1 $1,164.00 $1,164.00 $1,164.00 1.0×
Des Moines-West Des Moines, IA 3 $969.00 $1,174.40 $5,843.00 6.0×
Detroit-Warren-Dearborn, MI 5 $4,923.19 $7,478.46 $13,871.41 2.8×
Devils Lake, ND single city 1 $4,716.52 $4,716.52 $4,716.52 1.0×
Dodge City, KS 1 $3,577.00 $3,577.00 $3,577.00 1.0×
Dothan, AL 2 $10,102.24 $15,665.19 $21,228.13 2.1×
Douglas, WY single city 1 $2,485.77 $2,485.77 $2,485.77 1.0×
Duluth, MN-WI 6 $1,088.00 $2,796.25 $2,865.72 2.6×
Duncan, OK 1 $7,195.04 $7,195.04 $7,195.04 1.0×
Durango, CO 1 $11,423.00 $11,423.00 $11,423.00 1.0×
Durant, OK 1 $10,069.44 $10,069.44 $10,069.44 1.0×
Durham-Chapel Hill, NC 1 $16,801.94 $16,801.94 $16,801.94 1.0×
Eau Claire, WI 1 $7,549.65 $7,549.65 $7,549.65 1.0×
Edwards, CO 1 $921.75 $921.75 $921.75 1.0×
Elizabethtown, NC single city 1 $2,536.20 $2,536.20 $2,536.20 1.0×
Elkhart-Goshen, IN 2 $6,020.00 $10,298.57 $14,577.13 2.4×
Elko, NV 1 $15,159.35 $15,159.35 $15,159.35 1.0×
Enterprise, AL 1 $7,454.06 $7,454.06 $7,454.06 1.0×
Erie, PA 1 $5,093.00 $5,093.00 $5,093.00 1.0×
Eugene-Springfield, OR 2 $4,222.40 $7,229.09 $10,235.77 2.4×
Fairfield, IL single city 1 $10,638.40 $10,638.40 $10,638.40 1.0×
Farmington, NM 1 $712.28 $712.28 $712.28 1.0×
Fayetteville, NC 1 $4,401.00 $4,401.00 $4,401.00 1.0×
Fayetteville-Springdale-Rogers, AR 5 $354.40 $4,920.13 $7,982.76 22.5×
Fergus Falls, MN 1 $930.15 $930.15 $930.15 1.0×
Flint, MI 1 $7,416.48 $7,416.48 $7,416.48 1.0×
Fond du Lac, WI 1 $2,114.00 $2,114.00 $2,114.00 1.0×
Forest City, NC 1 $8,244.70 $8,244.70 $8,244.70 1.0×
Fort Smith, AR-OK 1 $4,461.36 $4,461.36 $4,461.36 1.0×
Fort Wayne, IN 3 $16,780.18 $17,787.56 $22,908.72 1.4×
Fraser, CO single city 1 $3,932.15 $3,932.15 $3,932.15 1.0×
Freeport, IL 1 $867.20 $867.20 $867.20 1.0×
Fremont, NE 1 $4,501.42 $4,501.42 $4,501.42 1.0×
Fresno, CA 1 $7,481.60 $7,481.60 $7,481.60 1.0×
Friday Harbor, WA single city 1 $4,525.30 $4,525.30 $4,525.30 1.0×
Gadsden, AL 2 $3,195.00 $7,360.32 $11,525.64 3.6×
Galax, VA single city 1 $8,611.87 $8,611.87 $8,611.87 1.0×
Gardnerville Ranchos, NV-CA 1 $1,890.00 $1,890.00 $1,890.00 1.0×
Glen Rose, TX single city 1 $12,255.00 $12,255.00 $12,255.00 1.0×
Glenwood, MN single city 1 $1,095.23 $1,095.23 $1,095.23 1.0×
Goldendale, WA single city 1 $6,600.00 $6,600.00 $6,600.00 1.0×
Gordon, NE single city 1 $6,500.00 $6,500.00 $6,500.00 1.0×
Granbury, TX 1 $14,545.29 $14,545.29 $14,545.29 1.0×
Granby, CO single city 1 $3,932.15 $3,932.15 $3,932.15 1.0×
Grand Forks, ND-MN 1 $4,716.52 $4,716.52 $4,716.52 1.0×
Grand Junction, CO 1 $6,918.25 $6,918.25 $6,918.25 1.0×
Grand Rapids, MN 1 $4,095.28 $4,095.28 $4,095.28 1.0×
Grand Rapids-Wyoming-Kentwood, MI 1 $343.00 $343.00 $343.00 1.0×
Grantsburg, WI single city 1 $2,721.60 $2,721.60 $2,721.60 1.0×
Great Bend, KS 1 $5,083.00 $5,083.00 $5,083.00 1.0×
Great Falls, MT 1 $14,871.00 $14,871.00 $14,871.00 1.0×
Greenfield, IA single city 1 $12,963.75 $12,963.75 $12,963.75 1.0×
Greenville-Anderson-Greer, SC 2 $15,618.85 $16,252.75 $16,886.65 1.1×
Gulfport-Biloxi, MS 2 $5,184.60 $5,739.79 $6,294.98 1.2×
Gunnison, CO single city 1 $640.05 $640.05 $640.05 1.0×
Hagerstown-Martinsburg, MD-WV 1 $6,132.00 $6,132.00 $6,132.00 1.0×
Hailey, ID 1 $8,630.00 $8,630.00 $8,630.00 1.0×
Hammond, LA 1 $852.40 $852.40 $852.40 1.0×
Harrisburg-Carlisle, PA 4 $5,480.13 $7,409.30 $7,767.60 1.4×
Harvey, ND single city 1 $6,804.00 $6,804.00 $6,804.00 1.0×
Hattiesburg, MS 1 $9,262.04 $9,262.04 $9,262.04 1.0×
Hays, KS 1 $1,445.40 $1,445.40 $1,445.40 1.0×
Hermann, MO single city 1 $2,145.00 $2,145.00 $2,145.00 1.0×
Hermitage, PA 1 $586.20 $586.20 $586.20 1.0×
Hilo-Kailua, HI 1 $9,587.20 $9,587.20 $9,587.20 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $8,313.00 $8,313.00 $8,313.00 1.0×
Holyoke, CO single city 1 $7,856.80 $7,856.80 $7,856.80 1.0×
Honesdale, PA single city 1 $6,391.00 $6,391.00 $6,391.00 1.0×
Hood River, OR 1 $990.00 $990.00 $990.00 1.0×
Hot Springs, VA single city 1 $4,913.77 $4,913.77 $4,913.77 1.0×
Houghton, MI 1 $7,854.57 $7,854.57 $7,854.57 1.0×
Houma-Bayou Cane-Thibodaux, LA 3 $1,712.72 $2,547.99 $6,941.70 4.1×
Houston, MO single city 1 $515.00 $515.00 $515.00 1.0×
Houston-Pasadena-The Woodlands, TX 1 $3,539.17 $3,539.17 $3,539.17 1.0×
Hugo, CO single city 1 $14,421.90 $14,421.90 $14,421.90 1.0×
Huntington-Ashland, WV-KY-OH 1 $11,290.00 $11,290.00 $11,290.00 1.0×
Huntsville, AL 1 $15,122.61 $15,122.61 $15,122.61 1.0×
Idaho Falls, ID 3 $4,413.00 $4,413.00 $6,936.00 1.6×
Indianapolis-Carmel-Greenwood, IN 4 $343.25 $6,748.09 $33,256.55 96.9×
International Falls, MN single city 1 $5,343.80 $5,343.80 $5,343.80 1.0×
Jackson, MS 2 $981.00 $12,813.73 $24,646.46 25.1×
Jamestown-Dunkirk, NY 1 $6,856.20 $6,856.20 $6,856.20 1.0×
Johnson, AR single city 1 $17,270.71 $17,270.71 $17,270.71 1.0×
Johnstown, PA 1 $5,975.77 $5,975.77 $5,975.77 1.0×
Kankakee, IL 1 $2,662.00 $2,662.00 $2,662.00 1.0×
Kansas City, MO-KS 3 $3,373.00 $3,568.00 $6,101.55 1.8×
Ketchikan, AK 1 $2,886.65 $2,886.65 $2,886.65 1.0×
Key West-Key Largo, FL 1 $12,211.03 $12,211.03 $12,211.03 1.0×
Kinder, LA single city 1 $5,928.00 $5,928.00 $5,928.00 1.0×
Kingman, KS single city 1 $3,000.00 $3,000.00 $3,000.00 1.0×
Kiowa, KS single city 1 $2,997.60 $2,997.60 $2,997.60 1.0×
Kirksville, MO 1 $19,329.55 $19,329.55 $19,329.55 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $4,469.36 $4,469.36 $4,469.36 1.0×
Knoxville, TN 2 $5,686.10 $6,177.21 $6,668.31 1.2×
Kodiak, AK single city 1 $3,150.42 $3,150.42 $3,150.42 1.0×
Kremmling, CO single city 1 $3,932.15 $3,932.15 $3,932.15 1.0×
Lafayette, LA 3 $1,619.55 $3,107.90 $4,378.93 2.7×
Lafayette-West Lafayette, IN 1 $8,953.62 $8,953.62 $8,953.62 1.0×
Lake City, IA single city 1 $6,438.00 $6,438.00 $6,438.00 1.0×
Lake Havasu City-Kingman, AZ 3 $8,446.12 $20,074.88 $24,083.32 2.9×
Lake Village, AR single city 1 $767.00 $767.00 $767.00 1.0×
Lakeview, OR single city 1 $673.20 $673.20 $673.20 1.0×
Lancaster, PA 1 $6,650.02 $6,650.02 $6,650.02 1.0×
Lanse, MI single city 1 $834.00 $834.00 $834.00 1.0×
Lansing-East Lansing, MI 3 $343.00 $343.00 $5,086.34 14.8×
Laredo, TX 1 $16,439.14 $16,439.14 $16,439.14 1.0×
Las Cruces, NM 2 $16,305.62 $20,449.07 $24,592.52 1.5×
Las Vegas-Henderson-North Las Vegas, NV 1 $3,894.00 $3,894.00 $3,894.00 1.0×
Lawrenceburg, TN 1 $4,817.93 $4,817.93 $4,817.93 1.0×
Lebanon, KY single city 1 $3,776.67 $3,776.67 $3,776.67 1.0×
Lebanon-Claremont, NH-VT 2 $554.40 $2,756.41 $4,958.42 8.9×
Lexington-Fayette, KY 3 $4,727.85 $8,030.00 $8,666.39 1.8×
Lima, OH 1 $23,566.63 $23,566.63 $23,566.63 1.0×
Linton, IN single city 1 $3,156.00 $3,156.00 $3,156.00 1.0×
Little Rock-North Little Rock-Conway, AR 6 $3,029.60 $4,007.75 $5,503.55 1.8×
Logan, UT-ID 1 $8,117.00 $8,117.00 $8,117.00 1.0×
Longview, TX 1 $14,193.99 $14,193.99 $14,193.99 1.0×
Longview-Kelso, WA 1 $6,758.05 $6,758.05 $6,758.05 1.0×
Los Angeles-Long Beach-Anaheim, CA 13 $3,182.40 $3,182.40 $4,582.00 1.4×
Lousiana, MO single city 1 $9,052.80 $9,052.80 $9,052.80 1.0×
Lufkin, TX 1 $15,716.86 $15,716.86 $15,716.86 1.0×
Macon-Bibb County, GA 1 $4,681.00 $4,681.00 $4,681.00 1.0×
Madison, MN single city 1 $646.85 $646.85 $646.85 1.0×
Madison, SD single city 1 $7,757.00 $7,757.00 $7,757.00 1.0×
Magnolia, AR 1 $4,878.08 $4,878.08 $4,878.08 1.0×
Manchester, IA single city 1 $15,753.60 $15,753.60 $15,753.60 1.0×
Manhattan, KS 1 $4,852.50 $4,852.50 $4,852.50 1.0×
Marlette, MI single city 1 $552.75 $552.75 $552.75 1.0×
Marquette, MI 1 $4,246.32 $4,246.32 $4,246.32 1.0×
Mason City, IA 1 $40,317.93 $40,317.93 $40,317.93 1.0×
Mayagüez, PR 2 $681.92 $787.08 $892.23 1.3×
Mayfield, KY 1 $10,142.33 $10,142.33 $10,142.33 1.0×
Maysville, KY single city 1 $11,957.09 $11,957.09 $11,957.09 1.0×
McAlester, OK 1 $409.60 $409.60 $409.60 1.0×
McAllen-Edinburg-Mission, TX 2 $3,579.00 $3,579.00 $3,579.00 1.0×
McCall, ID single city 1 $8,630.00 $8,630.00 $8,630.00 1.0×
McComb, MS 1 $4,911.35 $4,911.35 $4,911.35 1.0×
McPherson, KS 1 $572.02 $572.02 $572.02 1.0×
Medicine Lodge, KS single city 1 $5,300.00 $5,300.00 $5,300.00 1.0×
Memphis, TN-MS-AR 7 $2,669.26 $2,669.26 $7,827.16 2.9×
Meriden, CT single city 1 $1,960.00 $1,960.00 $1,960.00 1.0×
Meridian, MS 1 $3,482.01 $3,482.01 $3,482.01 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 5 $3,679.12 $3,679.12 $7,547.15 2.1×
Michigan City-La Porte, IN 2 $6,213.88 $14,104.34 $21,994.79 3.5×
Milledgeville, GA 1 $4,717.50 $4,717.50 $4,717.50 1.0×
Millersburg, OH single city 1 $9,462.70 $9,462.70 $9,462.70 1.0×
Minden, LA 1 $3,307.18 $3,307.18 $3,307.18 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 6 $961.80 $3,232.52 $5,563.45 5.8×
Moab, UT single city 1 $1,382.26 $1,382.26 $1,382.26 1.0×
Moberly, MO 1 $10,015.70 $10,015.70 $10,015.70 1.0×
Modesto, CA 1 $7,481.60 $7,481.60 $7,481.60 1.0×
Monroe, LA 2 $3,257.12 $6,543.88 $9,830.63 3.0×
Monroeville, AL single city 1 $2,833.60 $2,833.60 $2,833.60 1.0×
Monticello, AR single city 1 $3,926.97 $3,926.97 $3,926.97 1.0×
Morgan City, LA 1 $1,216.60 $1,216.60 $1,216.60 1.0×
Morgantown, WV 1 $11,800.00 $11,800.00 $11,800.00 1.0×
Morris, MN single city 1 $634.50 $634.50 $634.50 1.0×
Moscow, ID 1 $672.00 $672.00 $672.00 1.0×
Mount Pleasant, MI 1 $10,936.86 $10,936.86 $10,936.86 1.0×
Mount Vernon, OH 1 $544.69 $544.69 $544.69 1.0×
Mount Vernon-Anacortes, WA 1 $3,650.83 $3,650.83 $3,650.83 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 1 $692.00 $692.00 $692.00 1.0×
Naples-Marco Island, FL 3 $14,176.94 $15,332.89 $15,332.89 1.1×
Napoleon, OH single city 1 $612.75 $612.75 $612.75 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 4 $2,335.20 $5,612.16 $7,629.62 3.3×
Natchez, MS-LA 1 $9,562.98 $9,562.98 $9,562.98 1.0×
New London, WI single city 1 $2,114.00 $2,114.00 $2,114.00 1.0×
New Orleans-Metairie, LA 2 $7,368.32 $7,916.92 $8,465.52 1.1×
New York-Newark-Jersey City, NY-NJ 54 $679.60 $4,176.15 $30,062.00 44.2×
Norwich, CT single city 1 $1,960.00 $1,960.00 $1,960.00 1.0×
Oakley, KS single city 1 $2,850.00 $2,850.00 $2,850.00 1.0×
Ocean Pines, MD 1 $8,970.13 $8,970.13 $8,970.13 1.0×
Odessa, TX 1 $9,032.00 $9,032.00 $9,032.00 1.0×
Oklahoma City, OK 2 $1,414.70 $3,064.85 $4,715.00 3.3×
Olla, LA single city 1 $5,453.60 $5,453.60 $5,453.60 1.0×
Olney, IL single city 1 $2,814.00 $2,814.00 $2,814.00 1.0×
Omaha, NE-IA 4 $478.08 $1,528.92 $2,681.10 5.6×
Osage Beach, MO single city 1 $3,364.73 $3,364.73 $3,364.73 1.0×
Oshkosh-Neenah, WI 2 $2,114.00 $2,114.00 $2,114.00 1.0×
Paducah, KY-IL 1 $17,888.71 $17,888.71 $17,888.71 1.0×
Pampa, TX 1 $1,343.00 $1,343.00 $1,343.00 1.0×
Parkersburg-Vienna, WV 1 $3,751.00 $3,751.00 $3,751.00 1.0×
Pensacola-Ferry Pass-Brent, FL 1 $13,013.25 $13,013.25 $13,013.25 1.0×
Perry, FL single city 1 $3,432.40 $3,432.40 $3,432.40 1.0×
Peru, IN 1 $23,977.52 $23,977.52 $23,977.52 1.0×
Petersburg, WV single city 1 $5,491.20 $5,491.20 $5,491.20 1.0×
Petoskey, MI 1 $7,672.39 $7,672.39 $7,672.39 1.0×
Philadelphia, MS single city 1 $444.40 $444.40 $444.40 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 2 $3,522.00 $3,591.00 $3,660.00 1.0×
Phillipsburg, KS single city 1 $4,260.57 $4,260.57 $4,260.57 1.0×
Phoenix-Mesa-Chandler, AZ 2 $4,393.67 $7,375.63 $10,357.58 2.4×
Pinckneyville, IL single city 1 $13,018.00 $13,018.00 $13,018.00 1.0×
Pine Bluff, AR 1 $450.00 $450.00 $450.00 1.0×
Pittsburgh, PA 4 $1,112.67 $6,856.20 $7,267.80 6.5×
Polson, MT single city 1 $508.80 $508.80 $508.80 1.0×
Poplar Bluff, MO 1 $29,473.84 $29,473.84 $29,473.84 1.0×
Port Townsend, WA 1 $7,706.40 $7,706.40 $7,706.40 1.0×
Portland-Vancouver-Hillsboro, OR-WA 1 $7,610.20 $7,610.20 $7,610.20 1.0×
Poteau, OK single city 1 $7,058.12 $7,058.12 $7,058.12 1.0×
Price, UT 1 $7,887.96 $7,887.96 $7,887.96 1.0×
Providence-Warwick, RI-MA 2 $4,005.00 $5,070.31 $6,135.62 1.5×
Pulaski, TN single city 1 $8,516.31 $8,516.31 $8,516.31 1.0×
Rapid City, SD 2 $4,215.39 $6,003.82 $7,792.24 1.8×
Reading, PA 1 $5,966.43 $5,966.43 $5,966.43 1.0×
Redding, CA 1 $4,582.00 $4,582.00 $4,582.00 1.0×
Reno, NV 1 $3,894.00 $3,894.00 $3,894.00 1.0×
Rexburg, ID 1 $4,671.00 $4,671.00 $4,671.00 1.0×
Richmond, VA 4 $12,866.94 $13,979.41 $14,873.94 1.2×
Richmond-Berea, KY 1 $488.68 $488.68 $488.68 1.0×
Rifle, CO 1 $5,998.50 $5,998.50 $5,998.50 1.0×
Ripley, MS single city 1 $10,500.00 $10,500.00 $10,500.00 1.0×
Ripley, WV single city 1 $3,276.50 $3,276.50 $3,276.50 1.0×
Riverside-San Bernardino-Ontario, CA 8 $3,182.40 $3,710.80 $4,582.00 1.4×
Rochester, NY 1 $888.49 $888.49 $888.49 1.0×
Rolla, MO 1 $13,869.13 $13,869.13 $13,869.13 1.0×
Roosevelt, UT single city 1 $5,467.50 $5,467.50 $5,467.50 1.0×
Roswell, NM 1 $8,625.95 $8,625.95 $8,625.95 1.0×
Rugby, ND single city 1 $5,736.75 $5,736.75 $5,736.75 1.0×
Russellville, AR 1 $2,070.00 $2,070.00 $2,070.00 1.0×
Sacramento-Roseville-Folsom, CA 4 $7,481.60 $7,481.60 $12,987.10 1.7×
Saint Francis, KS single city 1 $5,219.85 $5,219.85 $5,219.85 1.0×
Salem, OH 1 $3,370.00 $3,370.00 $3,370.00 1.0×
San Antonio-New Braunfels, TX 2 $2,287.50 $5,693.55 $9,099.60 4.0×
San Diego-Chula Vista-Carlsbad, CA 9 $3,182.40 $6,744.49 $6,744.49 2.1×
San Francisco-Oakland-Fremont, CA 11 $7,481.60 $7,481.60 $18,252.00 2.4×
San Jose-Sunnyvale-Santa Clara, CA 2 $7,481.60 $7,481.60 $7,481.60 1.0×
Sandersville, GA single city 1 $7,058.12 $7,058.12 $7,058.12 1.0×
Sandusky, MI single city 1 $539.20 $539.20 $539.20 1.0×
Santa Rosa-Petaluma, CA 2 $565.08 $4,023.34 $7,481.60 13.2×
Satanta, KS single city 1 $5,342.40 $5,342.40 $5,342.40 1.0×
Scottsboro, AL 1 $10,303.90 $10,303.90 $10,303.90 1.0×
Scranton--Wilkes-Barre, PA 3 $10,863.12 $13,584.51 $13,584.51 1.3×
Seaford, DE 2 $2,000.00 $3,606.39 $5,212.77 2.6×
Seattle-Tacoma-Bellevue, WA 4 $5,477.91 $14,012.27 $26,077.70 4.8×
Sedalia, MO 1 $1,404.00 $1,404.00 $1,404.00 1.0×
Seminole, TX single city 1 $10,073.40 $10,073.40 $10,073.40 1.0×
Shawano, WI 1 $2,114.00 $2,114.00 $2,114.00 1.0×
Shelby-Kings Mountain, NC 1 $4,688.00 $4,688.00 $4,688.00 1.0×
Shenandoah, IA single city 1 $2,615.60 $2,615.60 $2,615.60 1.0×
Sherman-Denison, TX 1 $5,272.80 $5,272.80 $5,272.80 1.0×
Shreveport-Bossier City, LA 2 $4,105.55 $5,182.40 $6,259.25 1.5×
Sidney, MT single city 1 $341.80 $341.80 $341.80 1.0×
Sioux Center, IA single city 1 $932.17 $932.17 $932.17 1.0×
Skowhegan, ME single city 1 $1,014.75 $1,014.75 $1,014.75 1.0×
Snyder, TX 1 $863.00 $863.00 $863.00 1.0×
Somerset, PA 1 $7,767.60 $7,767.60 $7,767.60 1.0×
Spencer, WV single city 1 $15,313.34 $15,313.34 $15,313.34 1.0×
Springfield, MO 1 $7,278.60 $7,278.60 $7,278.60 1.0×
Springfield, OH 1 $32,640.23 $32,640.23 $32,640.23 1.0×
St. Johnsbury, VT single city 1 $1,010.25 $1,010.25 $1,010.25 1.0×
Staples, MN single city 1 $544.36 $544.36 $544.36 1.0×
Starkville, MS 1 $355.84 $355.84 $355.84 1.0×
Statesboro, GA 1 $33,458.91 $33,458.91 $33,458.91 1.0×
Sterling, IL 1 $10,596.50 $10,596.50 $10,596.50 1.0×
Stockton-Lodi, CA 1 $7,481.60 $7,481.60 $7,481.60 1.0×
Stuttgart, AR single city 1 $3,809.42 $3,809.42 $3,809.42 1.0×
Summersville, WV single city 1 $2,047.50 $2,047.50 $2,047.50 1.0×
Sylva, NC single city 1 $10,309.47 $10,309.47 $10,309.47 1.0×
Texarkana, TX-AR 1 $23,977.52 $23,977.52 $23,977.52 1.0×
Tiffin, OH 1 $35,762.12 $35,762.12 $35,762.12 1.0×
Toccoa, GA 1 $9,000.00 $9,000.00 $9,000.00 1.0×
Toledo, OH 4 $40,961.04 $61,435.71 $68,390.78 1.7×
Topeka, KS 1 $4,416.75 $4,416.75 $4,416.75 1.0×
Trenton-Princeton, NJ 1 $5,110.00 $5,110.00 $5,110.00 1.0×
Tribune, KS single city 1 $4,730.60 $4,730.60 $4,730.60 1.0×
Tucson, AZ 4 $7,075.58 $15,737.65 $19,301.26 2.7×
Tullahoma-Manchester, TN 1 $2,719.20 $2,719.20 $2,719.20 1.0×
Tulsa, OK 1 $3,336.60 $3,336.60 $3,336.60 1.0×
Twin Falls, ID 1 $8,630.00 $8,630.00 $8,630.00 1.0×
Urban Honolulu, HI 3 $8,159.20 $8,159.20 $8,159.20 1.0×
Urbana, OH 1 $16,187.46 $16,187.46 $16,187.46 1.0×
Utica-Rome, NY 2 $7,368.36 $10,647.25 $13,926.14 1.9×
Vallejo, CA 2 $7,481.60 $7,481.60 $7,481.60 1.0×
Vicksburg, MS 1 $13,160.77 $13,160.77 $13,160.77 1.0×
Victoria, TX 2 $12,479.64 $12,479.64 $12,479.64 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 3 $13,689.28 $17,944.59 $23,816.57 1.7×
Warner Robins, GA 1 $4,663.00 $4,663.00 $4,663.00 1.0×
Warsaw, IN 1 $18,988.72 $18,988.72 $18,988.72 1.0×
Warsaw, NY single city 1 $6,804.00 $6,804.00 $6,804.00 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 $5,274.36 $5,274.36 $5,274.36 1.0×
Watertown-Fort Atkinson, WI 1 $3,373.76 $3,373.76 $3,373.76 1.0×
Watford City, ND single city 1 $2,411.50 $2,411.50 $2,411.50 1.0×
Waupaca, WI single city 1 $2,114.00 $2,114.00 $2,114.00 1.0×
Weaverville, CA single city 1 $6,891.50 $6,891.50 $6,891.50 1.0×
Wedowee, AL single city 1 $975.60 $975.60 $975.60 1.0×
Weirton-Steubenville, WV-OH 1 $10,430.50 $10,430.50 $10,430.50 1.0×
Wenatchee-East Wenatchee, WA 1 $2,878.30 $2,878.30 $2,878.30 1.0×
Wheeling, WV-OH 1 $3,237.50 $3,237.50 $3,237.50 1.0×
Wichita, KS 1 $4,486.95 $4,486.95 $4,486.95 1.0×
Wild Rose, WI single city 1 $2,114.00 $2,114.00 $2,114.00 1.0×
Williamsport, PA 1 $821.40 $821.40 $821.40 1.0×
Wilson, NC 1 $20,186.00 $20,186.00 $20,186.00 1.0×
Winchester, TN 1 $10,505.53 $10,505.53 $10,505.53 1.0×
Wolfeboro, NH single city 1 $3,588.00 $3,588.00 $3,588.00 1.0×
Worcester, MA 3 $6,502.00 $9,639.00 $13,494.59 2.1×
Wytheville, VA single city 1 $11,552.33 $11,552.33 $11,552.33 1.0×
York-Hanover, PA 1 $33,904.47 $33,904.47 $33,904.47 1.0×
Youngstown-Warren, OH 4 $6,482.37 $16,414.08 $25,451.87 3.9×
Zanesville, OH 1 $12,401.66 $12,401.66 $12,401.66 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 49591?

CPT 49591 is the billing code for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm. 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.

Why might an older price list show a different code?

Since 2023 these repairs use codes 49591–49596 by defect size and status; older files and bills may still show retired umbilical or ventral hernia codes.

What if the hernia is larger or trapped?

Larger defects and hernias that cannot be pushed back in are billed with other codes in the same series, which usually cost more.

Is it cheaper to pay cash or use insurance for umbilical/ventral hernia repair?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for umbilical/ventral hernia repair has a median of $9,055.49 and the lowest a median of $1,305.55; at 488 of 614 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest umbilical/ventral hernia repair?

Among 37 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($483.20), Oregon ($1,301.25) and Wisconsin ($2,114.00), and highest in Ohio ($16,411.92), South Carolina ($16,252.75) and Arizona ($15,269.89). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other hernia repair prices

Median hospital cash price, one per hospital.