CPT 49520 Surgery - Digestive

How Much Does Rerepair Ing Hernia Reduce Cost?

Also known as: Rerepair ing hernia reduce (CPT 49520)

Surgical repair of a recurrent inguinal hernia.

The total estimated cost of Rerepair Ing Hernia Reduce (CPT 49520) is $2,044 to $3,832, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $608.

Total Estimated Cost of Care

$2,044 — $3,832

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$608
Hospital Facility Fee
$1,825
Anesthesia (est.)
$122
Important: The physician fee of $608 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$608
Physician component only — CMS PFS 2026

Patient Guide: Rerepair Ing Hernia Reduce

What you need to know before your appointment

What to Expect

Reoperation to repair a hernia that has returned after a previous repair, often using mesh and a different surgical approach.

How Long Does It Take?

1-2 hours

Common Reasons Doctors Order This

Recurrent inguinal hernia, hernia returning after previous repair

How to Prepare

Fast before surgery. Recovery may be longer than initial repair due to scar tissue.

Procedures Commonly Done Together

These procedures are frequently performed alongside Rerepair ing hernia reduce

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How to Reduce Your Cost for Rerepair ing hernia reduce

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

9.74
Work RVU
5.91
Practice Expense RVU
2.56
Malpractice RVU
18.21
Total RVU

Payment = Total RVU (18.21) x CF ($33.40) = $608

Frequently Asked Questions

How much does Rerepair ing hernia reduce cost?

The Medicare facility rate for Rerepair ing hernia reduce is $608. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Rerepair ing hernia reduce cost without insurance?

Without insurance, the cost of Rerepair ing hernia reduce can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Rerepair ing hernia reduce?

Most commercial health insurance plans and Medicare cover Rerepair ing hernia reduce when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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