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Repair of Upper Midline Abdominal Hernia

Ohio rates for HCPCS 49570

Surgery to repair an epigastric hernia, a bulge through a weak spot in the midline of the abdominal wall between the navel and the breastbone, usually containing a small plug of fat. It is done when the bulge can still be pushed back in. The surgeon makes a small incision over the site, returns the tissue, and closes the gap.

Rates data updated July 2026.

How much does Repair of Upper Midline Abdominal Hernia cost?

$3,388

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $3,388 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$692$562 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,388$2,399 to $5,623

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,072 to $13,490Professionalmedian $692 · 10th to 90th $407 to $1,905
$500$1K$2K$5K$10Kfacility $3,388professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,388.44
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$1,995.26
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,884.03
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$691.83

Where Ohio sits

The same service costs 389.0 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.

Ohio· 11th of 49

$3,388

CT $11,749ID $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.