Surgery and procedures CPT 49591 Washington Outpatient

Umbilical/ventral hernia repair cost in Washington

In Washington, 12 hospitals publish a cash price for first repair of a small front abdominal hernia (e.g. umbilical), under 3 cm: from $2,878.30 to $26,077.70, with a median of $7,184.13. The lowest price is at Lake Chelan Community Hospital (Chelan). The highest price is 9.1× the lowest.

  • The median here, $7,184.13, is 39% above the US median of $5,184.60.
  • Washington ranks 24th of 37 states by median, cheapest first.
  • 1 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 49591. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$2,878.30Lake Chelan Community Hospital
Median$7,184.13half of hospitals charge less
Highest$26,077.70in Washington
Lowest saves$4,305.83vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Lake Chelan Community Hospital lowest Chelan · Wenatchee-East Wenatchee, WA Initial repair of sliding hernia of abdomen, less than 3 cm in length $2,878.30 $2,878.30 Sep 1, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA 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 $3,650.83 $5,616.66 Mar 21, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA 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 $4,525.30 $6,962.00 Mar 20, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA RPR AA HRN 1ST GT 3 CM RDC $5,477.91 $10,741.00 Jan 1, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA Rep Ant Abd Hernia 1ST <3CM $6,600.00 $8,250.00 Dec 2, 2024
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA 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 $6,758.05 $10,397.00 Mar 21, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA 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 Mar 20, 2026
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Forks Community Hospital Forks · Port Townsend, WA Initial repair of sliding hernia of abdomen, less than 3 cm in length $7,706.40 $9,633.00 Oct 27, 2026
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Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA RPR AA HERNIA 1ST < 3 CM REDUCIBLE $8,000.00 $10,000.00 Apr 1, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Rpr Aa Hernia 1st < 3 Cm Reducible $20,024.53 $28,606.47 Mar 12, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA 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 $20,559.28 $31,629.66 Mar 21, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Repair of Anterior Abdominal Hernia(S) Reducible $26,077.70 — Mar 31, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 4 $5,477.91 $14,012.26
Bellingham, WA 1 $20,559.28 $20,559.28
Friday Harbor, WA 1 $4,525.30 $4,525.30
Goldendale, WA 1 $6,600.00 $6,600.00
Longview-Kelso, WA 1 $6,758.05 $6,758.05
Mount Vernon-Anacortes, WA 1 $3,650.83 $3,650.83
Port Townsend, WA 1 $7,706.40 $7,706.40
Portland-Vancouver-Hillsboro, OR-WA 1 $7,610.20 $7,610.20
Wenatchee-East Wenatchee, WA 1 $2,878.30 $2,878.30
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

What umbilical/ventral hernia repair is, what the price covers and why prices differ: Umbilical/ventral hernia repair explained.

First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm in other states

Median cash price across the state's hospitals.