CPT 49521

Hernia Repair - Open (inguinal)

Current code42 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 49521 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$7,219	$8,021
Island HospitalAnacortes	—	$237 – $1,648	$237 – $1,648
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$1,325Doctor’s fee: $861 – $1,325	$2,038Doctor’s fee: $1,325 – $2,038
Three Rivers HospitalBrewster	Doctor’s fee: $1,526	Doctor’s fee: $2,180	Doctor’s fee: $2,180
Trios HealthKennewick	—	—	$220,343
Virginia Mason Medical CenterSeattle	—	$6,780	$13,295

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): $734 in a hospital or surgery center
Doctor's fee, rest of Washington: $678 in a hospital or surgery center
Hospital outpatient payment (national): $6,614 (APC 5342)
Surgery center payment (national): $3,365

How hospitals also write this code

Some price files write it differently. These are counted as CPT 49521:

49521P (with a letter after it, P; 2 price lines)