CPT49650

Laparoscopic Inguinal Hernia Repair Cost in District of Columbia

Lap ing hernia repair init

$6,601Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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District of Columbia Medicare physician rate (2026)

+10.9% vs national

Single statewide locality.

District of Columbia (Hospital)
$470.48
Facility physician fee
Private plan est.
$612–$941
~130–200% of Medicare
Cash / self-pay est.
$376–$706
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$3,455
$424 physician + $3,031 facility
Physician fee alone
$424
Only 6% of the hospital total

Choosing a surgery centre over a hospital saves about $3,146 on the Medicare allowed amount for laparoscopic inguinal hernia repair. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in District of Columbia

Enter a ZIP code to see how the DC locality applies to your address, whether you are in the District itself, Bethesda or Silver Spring on the Maryland side, or Arlington and Alexandria in Virginia.

What laparoscopic inguinal hernia repair costs at hospitals near you

Everything above is a national average. The hospital you pick in District of Columbia moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs District of Columbia

National office$424.19
National hospital (physician)$424.19
District of Columbia vs national11% above the national office rate of $424.19

Where District of Columbia ranks for this CPT

Rank (lowest physician fee first)#48 of 51
Lowest stateArkansas ($374.85)
Highest stateAlaska ($513.86)

Laparoscopic Inguinal Hernia Repair and how District of Columbia is priced

The District of Columbia is unusual in the fee schedule: it forms its own high-cost locality that reaches beyond the city line to cover close-in Maryland and Virginia suburbs, including areas such as Montgomery and Prince George's counties and the Arlington and Alexandria side of the Potomac. Its geographic indices are among the highest in the country, reflecting the region's wages and office costs. As a result, DC-area Medicare-approved amounts run well above those in the rest of Maryland or Virginia, and the boundary of that locality can matter more than the state line. A patient in Bethesda is priced with Washington, not with Baltimore.

The Washington area is dense with hospitals, including multiple academic medical centers and large regional systems competing across the district and its suburbs. That density gives patients real choice within a short distance, which is rare in American health care. Federal employment also means an unusually well-insured population, so cash-pay and Medicare-rate comparisons are most useful for those outside employer coverage.

This procedure: Laparoscopic inguinal hernia repair fixes a groin hernia, a weakness where abdominal contents bulge through the muscle wall, using a camera and instruments through small incisions, almost always reinforced with surgical mesh. It is a common elective operation chosen when the bulge causes pain or grows. Under general anesthesia the repair takes under an hour for one side, and most patients go home the same day and resume light activity within days.

What Is Laparoscopic Inguinal Hernia Repair?

Laparoscopic inguinal hernia repair fixes a groin hernia, a weakness where abdominal contents bulge through the muscle wall, using a camera and instruments through small incisions, almost always reinforced with surgical mesh. It is a common elective operation chosen when the bulge causes pain or grows. Under general anesthesia the repair takes under an hour for one side, and most patients go home the same day and resume light activity within days.

What Affects the Cost

  • Repairing both sides during one operation, common because the laparoscope can see both groins, is billed with an additional code and raises the fee, though it is cheaper than two separate surgeries.
  • The mesh implant is part of the facility charge and varies by product.
  • Freestanding surgery centers usually beat hospital outpatient departments on the facility fee by a wide margin.
  • General anesthesia is required for laparoscopic repair and is billed separately by time; open repair under local anesthesia can be a cheaper alternative in some patients.
  • Robotic-assisted repair, increasingly common, can carry higher facility charges without a clearly better outcome for routine hernias.

Questions to Ask Before Booking

  • 1.Do I need surgery now, or is watchful waiting reasonable for my hernia?
  • 2.Will you check and repair the other side too, and how is that billed?
  • 3.What is the facility fee difference between the surgery center and hospital options you use?
  • 4.Is robotic assistance planned, and does it change what I pay?
  • 5.Which mesh will you use and is there any additional charge tied to it?

Laparoscopic Inguinal Hernia Repair in District of Columbia: questions

District of Columbia is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 49650 is $470.48 in an office and $470.48 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. District of Columbia uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $94 for the office physician line or $94 for the hospital physician line in District of Columbia. Medigap may cover that 20%. This is not the hospital facility fee.

No. $470.48 is only the physician's share. Adding Medicare's facility payment brings the total to about $6,601 in a hospital outpatient department, or about $3,455 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. District of Columbia ranks #48 of 51 states on the physician line (11% above the national office rate of $424.19).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.