Repair of groin hernia using an endoscope
Medicare pricing data for 11,234 providers across 52 states
Prices vary significantly by location — from $300 in South Dakota to $919 in Alaska. 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
Repair of groin hernia using an endoscope (HCPCS code 49650) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $532.46, but hospitals typically charge $2,649 — a 5.0x 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 $532.46, your out-of-pocket cost would be approximately $106.49. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $419.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $919 | $9,349 | 37 | 337 | +72.6% |
| California | $741 | $3,366 | 868 | 7,277 | +39.1% |
| Wyoming | $685 | $3,795 | 30 | 185 | +28.6% |
| Colorado | $631 | $3,631 | 255 | 1,776 | +18.5% |
| Maryland | $625 | $3,778 | 175 | 1,683 | +17.3% |
| Indiana | $612 | $3,352 | 240 | 1,218 | +15.0% |
| Arizona | $603 | $3,026 | 242 | 2,673 | +13.2% |
| Washington | $599 | $2,199 | 287 | 1,962 | +12.6% |
| Oregon | $581 | $2,400 | 184 | 946 | +9.1% |
| Ohio | $574 | $2,827 | 454 | 2,591 | +7.9% |
| Texas | $566 | $2,970 | 710 | 4,755 | +6.3% |
| Illinois | $563 | $2,965 | 434 | 3,160 | +5.8% |
| Nebraska | $557 | $2,186 | 97 | 640 | +4.6% |
| Virginia | $545 | $1,829 | 259 | 2,156 | +2.4% |
| North Carolina | $545 | $2,422 | 349 | 2,292 | +2.3% |
| Kansas | $536 | $2,475 | 119 | 821 | +0.7% |
| Tennessee | $528 | $2,025 | 219 | 1,427 | -0.8% |
| Florida | $517 | $2,436 | 805 | 7,147 | -2.9% |
| Iowa | $508 | $1,828 | 103 | 708 | -4.7% |
| Utah | $503 | $2,049 | 113 | 798 | -5.4% |
| Montana | $497 | $1,813 | 52 | 350 | -6.7% |
| New York | $489 | $3,417 | 755 | 4,836 | -8.2% |
| South Carolina | $479 | $2,184 | 172 | 1,616 | -10.0% |
| Michigan | $473 | $1,661 | 389 | 1,918 | -11.1% |
| Massachusetts | $471 | $1,896 | 249 | 1,662 | -11.6% |
| Louisiana | $467 | $1,894 | 157 | 765 | -12.4% |
| Missouri | $465 | $2,029 | 212 | 1,568 | -12.7% |
| New Mexico | $464 | $2,905 | 62 | 489 | -12.9% |
| New Jersey | $461 | $4,678 | 274 | 1,978 | -13.5% |
| Hawaii | $461 | $1,464 | 29 | 149 | -13.5% |
| Wisconsin | $456 | $4,401 | 313 | 1,425 | -14.3% |
| Minnesota | $453 | $2,511 | 246 | 1,020 | -15.0% |
| New Hampshire | $444 | $2,553 | 89 | 531 | -16.5% |
| Georgia | $442 | $1,935 | 303 | 1,942 | -17.1% |
| Mississippi | $436 | $1,858 | 113 | 843 | -18.0% |
| Puerto Rico | $434 | $981 | 16 | 39 | -18.6% |
| Kentucky | $429 | $1,263 | 168 | 838 | -19.4% |
| Nevada | $426 | $2,425 | 85 | 721 | -19.9% |
| Pennsylvania | $426 | $1,777 | 486 | 3,025 | -20.0% |
| Alabama | $425 | $1,567 | 171 | 866 | -20.1% |
| Connecticut | $424 | $2,342 | 198 | 991 | -20.4% |
| Arkansas | $415 | $1,318 | 96 | 562 | -22.1% |
| Rhode Island | $402 | $1,273 | 36 | 187 | -24.6% |
| North Dakota | $387 | $2,004 | 31 | 149 | -27.4% |
| Idaho | $381 | $1,448 | 77 | 550 | -28.5% |
| Oklahoma | $380 | $1,162 | 110 | 869 | -28.7% |
| District of Columbia | $371 | $1,383 | 27 | 327 | -30.3% |
| Vermont | $371 | $1,408 | 17 | 76 | -30.4% |
| West Virginia | $332 | $1,224 | 68 | 281 | -37.6% |
| Delaware | $320 | $886 | 62 | 514 | -39.9% |
| Maine | $319 | $958 | 65 | 269 | -40.0% |
| South Dakota | $300 | $1,314 | 66 | 278 | -43.6% |
⚠️ 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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