CPT 49520

Hernia Repair - Open (inguinal)

Current code44 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 49520 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$1,123 – $1,6884 plans	$1,615	$2,019
Coulee Medical CenterGrand Coulee	—	$2,073	$2,304
Island HospitalAnacortes	$2,469 – $2,6793 plans	$312 – $2,340	$312 – $2,340
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $761 – $1,170	Doctor’s fee: $1,170 – $1,800
Seattle Children's HospitalSeattle	$377 – $523at least 9 plans	—	$2,676 – $3,479
Three Rivers HospitalBrewster	Doctor’s fee: $1,460	Doctor’s fee: $2,086	Doctor’s fee: $2,086
Trios HealthKennewick	—	—	$220,343
Virginia Mason Medical CenterSeattle	—	$8,341	$16,355

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $654 in a hospital or surgery center
Doctor's fee, rest of Washington: $602 in a hospital or surgery center
Hospital outpatient payment (national): $3,658 (APC 5341)
Surgery center payment (national): $1,744

How hospitals also write this code

Some price files write it differently. These are counted as CPT 49520:

49520P (with a letter after it, P; 2 price lines)