Initial repair of sliding hernia of abdomen, 3-10 cm in length
Medicare pricing data for 8,685 providers across 52 states
Prices vary significantly by location — from $343 in North Dakota to $749 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
Initial repair of sliding hernia of abdomen, 3-10 cm in length (HCPCS code 49593) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $498.96, but hospitals typically charge $2,290 — a 4.6x 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 $498.96, your out-of-pocket cost would be approximately $99.79. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $394.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $749 | $7,860 | 23 | 39 | +50.1% |
| California | $575 | $2,960 | 710 | 1,581 | +15.3% |
| Illinois | $547 | $2,589 | 311 | 735 | +9.6% |
| Michigan | $547 | $1,659 | 267 | 474 | +9.6% |
| Ohio | $536 | $2,515 | 345 | 744 | +7.4% |
| Kansas | $534 | $2,161 | 94 | 236 | +7.0% |
| Florida | $532 | $2,299 | 614 | 1,668 | +6.6% |
| Indiana | $531 | $2,509 | 210 | 469 | +6.4% |
| Virginia | $530 | $1,522 | 223 | 517 | +6.2% |
| Maryland | $530 | $1,755 | 153 | 397 | +6.1% |
| Texas | $527 | $2,561 | 589 | 1,263 | +5.7% |
| Oregon | $523 | $2,296 | 116 | 216 | +4.8% |
| Arkansas | $518 | $1,408 | 95 | 219 | +3.9% |
| Tennessee | $518 | $1,862 | 189 | 459 | +3.8% |
| Louisiana | $515 | $1,837 | 142 | 275 | +3.3% |
| Mississippi | $512 | $1,608 | 90 | 208 | +2.6% |
| Massachusetts | $501 | $1,859 | 184 | 379 | +0.5% |
| Rhode Island | $500 | $1,716 | 29 | 51 | +0.3% |
| South Carolina | $500 | $2,199 | 155 | 363 | +0.1% |
| Puerto Rico | $499 | $838 | 18 | 25 | -0.0% |
| Colorado | $490 | $1,574 | 159 | 306 | -1.9% |
| Arizona | $490 | $2,136 | 192 | 495 | -1.9% |
| New Jersey | $478 | $6,483 | 241 | 596 | -4.2% |
| New York | $476 | $2,866 | 538 | 1,132 | -4.6% |
| Georgia | $476 | $1,736 | 234 | 541 | -4.7% |
| Montana | $475 | $1,185 | 40 | 73 | -4.8% |
| District of Columbia | $474 | $1,537 | 21 | 41 | -5.0% |
| Pennsylvania | $473 | $1,445 | 412 | 921 | -5.1% |
| Delaware | $472 | $1,571 | 42 | 83 | -5.4% |
| Oklahoma | $469 | $1,313 | 107 | 282 | -6.1% |
| Hawaii | $466 | $1,438 | 14 | 21 | -6.7% |
| Kentucky | $465 | $1,351 | 121 | 228 | -6.9% |
| Alabama | $458 | $1,462 | 130 | 316 | -8.2% |
| Iowa | $454 | $1,586 | 90 | 179 | -9.1% |
| Vermont | $453 | $2,144 | 16 | 27 | -9.2% |
| Nevada | $452 | $2,015 | 65 | 152 | -9.4% |
| Missouri | $450 | $1,511 | 161 | 325 | -9.8% |
| Connecticut | $446 | $1,850 | 89 | 145 | -10.6% |
| North Carolina | $445 | $1,970 | 291 | 688 | -10.9% |
| Wyoming | $441 | $2,639 | 21 | 41 | -11.7% |
| Minnesota | $436 | $2,487 | 182 | 292 | -12.5% |
| Utah | $433 | $1,241 | 85 | 191 | -13.2% |
| Wisconsin | $422 | $3,978 | 173 | 280 | -15.3% |
| New Hampshire | $421 | $3,057 | 70 | 127 | -15.7% |
| New Mexico | $418 | $1,537 | 40 | 65 | -16.3% |
| Washington | $414 | $1,579 | 188 | 333 | -17.0% |
| Maine | $389 | $1,378 | 42 | 75 | -22.1% |
| West Virginia | $385 | $1,477 | 49 | 91 | -22.8% |
| Nebraska | $381 | $1,962 | 95 | 255 | -23.6% |
| Idaho | $375 | $1,363 | 57 | 93 | -24.8% |
| South Dakota | $351 | $1,105 | 47 | 89 | -29.7% |
| North Dakota | $343 | $1,602 | 32 | 73 | -31.2% |
⚠️ 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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