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Repair of Upper Midline Abdominal Hernia

Pennsylvania 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?

$363

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $363 to $417.

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

Facilitymedian $457 · 10th to 90th $457 to $457Professionalmedian $363 · 10th to 90th $363 to $692
$500$1Kfacility $457professional $363

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$1,995.26
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$537.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$407.38
Typical High
$549.54

Where Pennsylvania 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.

Pennsylvania· 47th of 49

$363

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.