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Inguinal Hernia Repair (Open)

CPT 4950539 Colorado hospitals reporting a negotiated rate

Open repair of an inguinal hernia in adults. Common in men 50+; performed laparoscopically as an alternative coded separately.

Typical insured price · Colorado

$519to$5,548

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medianshalf of reporting hospitals’ median rates fall in this window with a median of $3,609.

$519$5,548

Cash price (median)

$1,267

What you'd pay self-pay

Gross charge (median)

$1,689

The chargemaster sticker

vs Medicare

Coming with enrichment

Sourced from 39 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code
CPT 49505
Code system
CPT (Current Procedural Terminology)
Typical setting
an outpatient setting
Hospitals reporting
39

How they price Inguinal Hernia Repair (Open)

Across 39 Colorado hospitals that publish a commercial negotiated rate for CPT 49505, the typical insured price for Inguinal Hernia Repair (Open) runs $519 to $5,548 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $3,609 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,267, against a median gross charge of $1,689.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

  • Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
  • In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
  • Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
  • Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Commonspirit St Anthony North Hospital
Metro
Denver Metro
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
11
Commonspirit St Francis Hospital Interquest
Metro
Colorado Springs
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
9
Commonspirit St Anthony Hospital Lakewood
Metro
Denver Metro
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
6
Commonspirit St Anthony Summit Medical Center
Metro
Rest of Colorado
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
8
Commonspirit St Francis Hospital
Metro
Colorado Springs
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
10
Commonspirit St Mary Corwin Hospital Pueblo
Metro
Rest of Colorado
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
10
Commonspirit Mercy Hospital Durango
Metro
Rest of Colorado
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
10
Commonspirit Orthocolorado Hospital
Metro
Denver Metro
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
9
Commonspirit St Elizabeth Hospital Fort Morgan
Metro
Rest of Colorado
Median negotiated
$506
Your carrier's rate
25th–75th
$506 – $506
Cash
Payers
8
Commonspirit Longmont United Hospital
Metro
Boulder
Median negotiated
$517
Your carrier's rate
25th–75th
$517 – $517
Cash
Payers
11
Children S Hospital Colorado Colorado Springs
Metro
Colorado Springs
Median negotiated
$520
Your carrier's rate
25th–75th
$520 – $520
Cash
Payers
1
Boulder Community Health Foothills Hospital

Gross charge $1,038

Metro
Boulder
Median negotiated
$882
Your carrier's rate
25th–75th
$683 – $1,285
Cash
$519
Payers
31
Uchealth Estes Valley Medical Center Estes Park

Gross charge $1,689

Metro
Fort Collins
Median negotiated
$1,605
Your carrier's rate
25th–75th
$1,102 – $1,613
Cash
$1,267
Payers
15
Uchealth Greeley Hospital
Metro
Rest of Colorado
Median negotiated
$3,529
Your carrier's rate
25th–75th
$3,529 – $5,982
Cash
Payers
8
Grand River Health Rifle

Gross charge $2,158

Metro
Rest of Colorado
Median negotiated
$3,542
Your carrier's rate
25th–75th
$3,542 – $3,542
Cash
$1,079
Payers
1
Uchealth Highlands Ranch Hospital
Metro
Denver Metro
Median negotiated
$3,547
Your carrier's rate
25th–75th
$3,282 – $4,568
Cash
Payers
8
Uchealth Yampa Valley Medical Center Steamboat Springs
Metro
Rest of Colorado
Median negotiated
$3,547
Your carrier's rate
25th–75th
$3,547 – $5,764
Cash
Payers
8
Uchealth Grandview Hospital Colorado Springs
Metro
Colorado Springs
Median negotiated
$3,547
Your carrier's rate
25th–75th
$3,547 – $6,732
Cash
Payers
8
Uchealth Longs Peak Hospital Longmont
Metro
Boulder
Median negotiated
$3,547
Your carrier's rate
25th–75th
$3,202 – $5,919
Cash
Payers
8
Uchealth University of Colorado Hospital Aurora
Metro
Denver Metro
Median negotiated
$3,609
Your carrier's rate
25th–75th
$3,547 – $7,133
Cash
Payers
9
Uchealth Medical Center of the Rockies Loveland
Metro
Fort Collins
Median negotiated
$3,616
Your carrier's rate
25th–75th
$3,547 – $4,724
Cash
Payers
8
Uchealth Poudre Valley Hospital Fort Collins
Metro
Fort Collins
Median negotiated
$3,637
Your carrier's rate
25th–75th
$3,547 – $4,724
Cash
Payers
8
Lincoln Community Hospital Hugo

Gross charge $16,410

Metro
Rest of Colorado
Median negotiated
$3,818
Your carrier's rate
25th–75th
$3,818 – $3,818
Cash
$16,410
Payers
14
Community Hospital Grand Junction

Gross charge $13,466

Metro
Rest of Colorado
Median negotiated
$3,871
Your carrier's rate
25th–75th
$3,758 – $4,455
Cash
$7,541
Payers
7
Uchealth Memorial Hospital Central Colorado Springs
Metro
Colorado Springs
Median negotiated
$3,901
Your carrier's rate
25th–75th
$3,547 – $6,655
Cash
Payers
8
Uchealth Memorial Hospital North Colorado Springs
Metro
Colorado Springs
Median negotiated
$3,901
Your carrier's rate
25th–75th
$3,547 – $6,655
Cash
Payers
8
Commonspirit St Thomas More Hospital Ca on City
Metro
Rest of Colorado
Median negotiated
$4,349
Your carrier's rate
25th–75th
$4,349 – $4,349
Cash
Payers
1
Pikes Peak Regional Hospital Woodland Park
Metro
Colorado Springs
Median negotiated
$4,517
Your carrier's rate
25th–75th
$3,323 – $6,238
Cash
Payers
3
Hca Healthone Swedish Medical Center
Metro
Denver Metro
Median negotiated
$5,548
Your carrier's rate
25th–75th
$5,093 – $8,799
Cash
Payers
6
Hca Healthone Mountain Ridge Thornton
Metro
Denver Metro
Median negotiated
$5,548
Your carrier's rate
25th–75th
$5,339 – $8,799
Cash
Payers
6
Hca Healthone Aurora Medical Center of Aurora
Metro
Denver Metro
Median negotiated
$5,548
Your carrier's rate
25th–75th
$5,339 – $8,799
Cash
Payers
6
Hca Healthone Sky Ridge Medical Center
Metro
Denver Metro
Median negotiated
$5,548
Your carrier's rate
25th–75th
$5,339 – $8,799
Cash
Payers
6
Hca Healthone Rose Medical Center
Metro
Denver Metro
Median negotiated
$5,680
Your carrier's rate
25th–75th
$5,548 – $8,799
Cash
Payers
6
Hca Healthone Presbyterian St Luke S Medical Center
Metro
Denver Metro
Median negotiated
$5,680
Your carrier's rate
25th–75th
$5,548 – $8,799
Cash
Payers
6
Family Health West Hospital Fruita
Metro
Rest of Colorado
Median negotiated
$5,831
Your carrier's rate
25th–75th
$5,831 – $5,831
Cash
Payers
1
Denver Health Medical Center
Metro
Denver Metro
Median negotiated
$6,150
Your carrier's rate
25th–75th
$4,330 – $6,733
Cash
Payers
6
Uchealth Parkview Medical Center Pueblo
Metro
Rest of Colorado
Median negotiated
$6,334
Your carrier's rate
25th–75th
$3,638 – $7,891
Cash
Payers
7
Banner North Colorado Medical Center
Metro
Rest of Colorado
Median negotiated
$21,038
Your carrier's rate
25th–75th
$16,792 – $25,285
Cash
Payers
2
Banner Fort Collins Medical Center
Metro
Fort Collins
Median negotiated
$21,038
Your carrier's rate
25th–75th
$16,792 – $25,285
Cash
Payers
2
Prowers Medical Center Lamar

Gross charge $1,193

Metro
Rest of Colorado
Median negotiated
Your carrier's rate
25th–75th
Cash
$716
Payers

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS)

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Inguinal Hernia Repair (Open) cost in Colorado?

Across 39 Colorado hospitals that publish a commercial negotiated rate, the median is $3,609. The middle half of hospitals fall between $519 and $5,548 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Inguinal Hernia Repair (Open) under 57 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Inguinal Hernia Repair (Open) if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $1,267. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS)

What does CPT 49505 mean?

CPT 49505 is the CPT (Current Procedural Terminology) code for Inguinal Hernia Repair (Open). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.