CPT49650

Laparoscopic Inguinal Hernia Repair Cost in Ohio

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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Ohio Medicare physician rate (2026)

-3.2% vs national

Single statewide locality.

Ohio (Hospital)
$410.48
Facility physician fee
Private plan est.
$534–$821
~130–200% of Medicare
Cash / self-pay est.
$328–$616
~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 Ohio

Look up your ZIP to see rates for your corner of Ohio, whether Cleveland, Columbus, Cincinnati, Toledo, Akron, Dayton, or the Appalachian southeast.

What laparoscopic inguinal hernia repair costs at hospitals near you

Everything above is a national average. The hospital you pick in Ohio 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 Ohio

National office$424.19
National hospital (physician)$424.19
Ohio vs national3% below the national office rate of $424.19

Where Ohio ranks for this CPT

Rank (lowest physician fee first)#24 of 51
Lowest stateArkansas ($374.85)
Highest stateAlaska ($513.86)

Laparoscopic Inguinal Hernia Repair and how Ohio is priced

Ohio's physician pricing runs through a small number of Medicare payment localities rather than a single statewide one, so its major metros and the rest of the state are not all priced identically. Adjustments across Ohio cluster near the national average, with the urban areas at the upper end of the state's range. Cleveland, Columbus, and Cincinnati each anchor large distinct medical markets within this structure. The practical spread within Ohio is modest compared with coastal states, but it exists, so location is worth checking here.

Ohio is one of the few states with three large competing metro health markets, including a Cleveland-based system with a global referral reputation and major academic centers in Columbus and Cincinnati. Appalachian southeast Ohio is the state's hardest region for access, with fewer specialists and longer travel. Toledo, Akron, Dayton, and Youngstown round out an unusually deep bench of mid-sized hospital markets.

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 Ohio: questions

Ohio is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 49650 is $410.48 in an office and $410.48 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Ohio 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 $82 for the office physician line or $82 for the hospital physician line in Ohio. Medigap may cover that 20%. This is not the hospital facility fee.

No. $410.48 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. Ohio ranks #24 of 51 states on the physician line (3% below 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.