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Repair of Returned Abdominal Wall Hernia

Pennsylvania rates for HCPCS 49565

Open surgery to repair a hernia in the abdominal wall that has come back after an earlier repair, when the bulging tissue can still be pushed back inside. The surgeon opens the old site, clears the scar tissue, returns the contents to the abdomen, and closes the defect in the wall.

Rates data updated October 2026.

How much does Repair of Returned Abdominal Wall Hernia cost?

$741

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $741 for this service. Most negotiated rates run $692 to $832.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $741 · 10th to 90th $692 to $1,445
$1K$2Kprofessional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,290.87
Geisinger
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$1,071.52
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$776.25
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$758.58
Typical High
$1,000.00

Where Pennsylvania sits

The same service costs 524.8 times more in Connecticut than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 39th of 43

$741

CT $15,849ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.