Inguinal Hernia Repair (Open)
Open repair of an inguinal hernia in adults. Common in men 50+; performed laparoscopically as an alternative coded separately.
Typical insured price · Colorado
What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $3,609.
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, anaesthesia, 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.
40 hospitals
| Hospital | Position · Median | Negotiated band | Cash | Payers |
|---|---|---|---|---|
Commonspirit St Anthony North Hospital
| $506 | $506 – $506 | — | 11 |
Commonspirit St Francis Hospital Interquest
| $506 | $506 – $506 | — | 9 |
Commonspirit St Anthony Hospital Lakewood
| $506 | $506 – $506 | — | 6 |
Commonspirit St Anthony Summit Medical Center
| $506 | $506 – $506 | — | 8 |
Commonspirit St Francis Hospital
| $506 | $506 – $506 | — | 10 |
Commonspirit St Mary Corwin Hospital Pueblo
| $506 | $506 – $506 | — | 10 |
Commonspirit Mercy Hospital Durango
| $506 | $506 – $506 | — | 10 |
Commonspirit Orthocolorado Hospital
| $506 | $506 – $506 | — | 9 |
Commonspirit St Elizabeth Hospital Fort Morgan
| $506 | $506 – $506 | — | 8 |
Commonspirit Longmont United Hospital
| $517 | $517 – $517 | — | 11 |
Children S Hospital Colorado Colorado Springs
| $520 | $520 – $520 | — | 1 |
| Boulder Community Health Foothills Hospital Gross charge $1,038
| $882 | $683 – $1,285 | $519 | 31 |
| Uchealth Estes Valley Medical Center Estes Park Gross charge $1,689
| $1,605 | $1,102 – $1,613 | $1,267 | 15 |
Uchealth Greeley Hospital
| $3,529 | $3,529 – $5,982 | — | 8 |
| Grand River Health Rifle Gross charge $2,158
| $3,542 | $3,542 – $3,542 | $1,079 | 1 |
Uchealth Highlands Ranch Hospital
| $3,547 | $3,282 – $4,568 | — | 8 |
Uchealth Yampa Valley Medical Center Steamboat Springs
| $3,547 | $3,547 – $5,764 | — | 8 |
Uchealth Grandview Hospital Colorado Springs
| $3,547 | $3,547 – $6,732 | — | 8 |
Uchealth Longs Peak Hospital Longmont
| $3,547 | $3,202 – $5,919 | — | 8 |
Uchealth University of Colorado Hospital Aurora
| $3,609 | $3,547 – $7,133 | — | 9 |
Uchealth Medical Center of the Rockies Loveland
| $3,616 | $3,547 – $4,724 | — | 8 |
Uchealth Poudre Valley Hospital Fort Collins
| $3,637 | $3,547 – $4,724 | — | 8 |
| Lincoln Community Hospital Hugo Gross charge $16,410
| $3,818 | $3,818 – $3,818 | $16,410 | 14 |
| Community Hospital Grand Junction Gross charge $13,466
| $3,871 | $3,758 – $4,455 | $7,541 | 7 |
Uchealth Memorial Hospital Central Colorado Springs
| $3,901 | $3,547 – $6,655 | — | 8 |
Uchealth Memorial Hospital North Colorado Springs
| $3,901 | $3,547 – $6,655 | — | 8 |
Commonspirit St Thomas More Hospital Ca on City
| $4,349 | $4,349 – $4,349 | — | 1 |
Pikes Peak Regional Hospital Woodland Park
| $4,517 | $3,323 – $6,238 | — | 3 |
Hca Healthone Swedish Medical Center
| $5,548 | $5,093 – $8,799 | — | 6 |
Hca Healthone Mountain Ridge Thornton
| $5,548 | $5,339 – $8,799 | — | 6 |
Hca Healthone Aurora Medical Center of Aurora
| $5,548 | $5,339 – $8,799 | — | 6 |
Hca Healthone Sky Ridge Medical Center
| $5,548 | $5,339 – $8,799 | — | 6 |
Hca Healthone Rose Medical Center
| $5,680 | $5,548 – $8,799 | — | 6 |
Hca Healthone Presbyterian St Luke S Medical Center
| $5,680 | $5,548 – $8,799 | — | 6 |
Family Health West Hospital Fruita
| $5,831 | $5,831 – $5,831 | — | 1 |
Denver Health Medical Center
| $6,150 | $4,330 – $6,733 | — | 6 |
Uchealth Parkview Medical Center Pueblo
| $6,334 | $3,638 – $7,891 | — | 7 |
Banner North Colorado Medical Center
| $21,038 | $16,792 – $25,285 | — | 2 |
Banner Fort Collins Medical Center
| $21,038 | $16,792 – $25,285 | — | 2 |
| Prowers Medical Center Lamar Gross charge $1,193
| — | — | $716 | — |
Common questions
Short answers, derived from the data on this page. See the full FAQ for site-wide questions.
- What is the typical price for Inguinal Hernia Repair (Open) in Colorado?
- Across 39 Colorado hospitals reporting a commercial negotiated rate for CPT 49505, the 25th-to-75th percentile band runs $519 to $5,548 per hospital median. The 50th-percentile (Colorado median) is $3,609.
- Why is the price range for Inguinal Hernia Repair (Open) so wide?
- Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 10.7× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
- 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 offer a self-pay rate that's 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.
- 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 MRF 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.