Initial repair of sliding hernia of abdomen, less than 3 cm in length
Medicare pricing data for 10,061 providers across 51 states
This procedure has a 5.4x markup — hospitals charge $1,777 but Medicare allows only $331.57. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $189 in South Dakota to $545 in Wyoming. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Initial repair of sliding hernia of abdomen, less than 3 cm in length (HCPCS code 49591) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $331.57, but hospitals typically charge $1,777 — a 5.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $331.57, your out-of-pocket cost would be approximately $66.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $260.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $545 | $3,692 | 35 | 87 | +64.5% |
| California | $434 | $2,754 | 820 | 2,179 | +30.8% |
| Alaska | $419 | $4,810 | 38 | 83 | +26.4% |
| Colorado | $409 | $1,707 | 221 | 471 | +23.4% |
| Indiana | $392 | $2,221 | 258 | 614 | +18.3% |
| Nebraska | $390 | $1,814 | 95 | 253 | +17.7% |
| Arizona | $365 | $2,003 | 195 | 548 | +10.2% |
| Minnesota | $365 | $1,999 | 225 | 412 | +9.9% |
| Kansas | $350 | $1,396 | 124 | 400 | +5.4% |
| Illinois | $349 | $1,928 | 362 | 877 | +5.3% |
| Virginia | $345 | $1,317 | 270 | 728 | +4.1% |
| Florida | $342 | $1,767 | 672 | 1,730 | +3.1% |
| Ohio | $341 | $1,918 | 388 | 845 | +2.9% |
| Maryland | $340 | $1,593 | 194 | 478 | +2.7% |
| Oregon | $340 | $1,606 | 137 | 249 | +2.4% |
| New Mexico | $338 | $1,823 | 52 | 91 | +2.0% |
| North Carolina | $338 | $1,609 | 327 | 787 | +1.9% |
| Washington | $336 | $1,398 | 243 | 529 | +1.3% |
| Texas | $335 | $2,109 | 625 | 1,313 | +1.1% |
| Iowa | $332 | $1,447 | 136 | 327 | +0.3% |
| South Carolina | $329 | $1,740 | 163 | 473 | -0.7% |
| Louisiana | $329 | $1,959 | 144 | 315 | -0.8% |
| Mississippi | $325 | $907 | 100 | 236 | -2.1% |
| Montana | $319 | $998 | 52 | 134 | -3.7% |
| Missouri | $311 | $1,336 | 197 | 411 | -6.1% |
| Kentucky | $310 | $1,059 | 153 | 338 | -6.4% |
| Arkansas | $305 | $971 | 101 | 243 | -8.1% |
| New Jersey | $303 | $3,491 | 216 | 493 | -8.5% |
| Alabama | $298 | $1,296 | 149 | 306 | -10.2% |
| Tennessee | $297 | $1,190 | 206 | 447 | -10.3% |
| Utah | $296 | $1,196 | 113 | 284 | -10.9% |
| Georgia | $293 | $1,426 | 276 | 616 | -11.6% |
| Massachusetts | $290 | $1,286 | 257 | 623 | -12.6% |
| Oklahoma | $289 | $825 | 121 | 286 | -12.8% |
| Wisconsin | $288 | $2,718 | 239 | 480 | -13.2% |
| Nevada | $287 | $1,831 | 85 | 198 | -13.3% |
| Pennsylvania | $286 | $1,013 | 468 | 1,046 | -13.6% |
| New Hampshire | $284 | $2,016 | 78 | 174 | -14.2% |
| Connecticut | $281 | $1,514 | 116 | 204 | -15.3% |
| Rhode Island | $280 | $957 | 30 | 51 | -15.6% |
| Michigan | $278 | $1,109 | 306 | 581 | -16.3% |
| Idaho | $277 | $1,006 | 76 | 184 | -16.5% |
| North Dakota | $276 | $1,407 | 35 | 70 | -16.9% |
| New York | $269 | $2,073 | 597 | 1,289 | -18.8% |
| Vermont | $268 | $1,325 | 27 | 76 | -19.1% |
| Hawaii | $266 | $1,006 | 28 | 43 | -19.8% |
| West Virginia | $236 | $879 | 57 | 109 | -28.9% |
| District of Columbia | $204 | $909 | 34 | 78 | -38.4% |
| Delaware | $204 | $988 | 51 | 121 | -38.4% |
| Maine | $198 | $824 | 46 | 100 | -40.2% |
| South Dakota | $189 | $766 | 61 | 166 | -43.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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