Hernia repair: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $424.19 in an office (non-facility) setting and $424.19 in a facility setting for 49650. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Procedure · Updated Aug 1, 2026

Hernia repair: CPT code and Medicare rate

Laparoscopic repair of a first-time groin (inguinal) hernia causing a bulge, discomfort, or a risk of tissue becoming trapped.

Also called: inguinal hernia surgery, groin hernia repair, hernia surgery.

Usually billed as

49650 Laparoscopic Repair of First-Time Inguinal Hernia

Office (non-facility): $424.19
Facility: $424.19

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs — open the code page for the locality breakdown.

Repairing a hernia that has come back after earlier surgery is a separate, more involved procedure.

Common questions

Hernia repair: which code is it?: 49650 — Laparoscopic Repair of First-Time Inguinal Hernia. Laparoscopic repair of a first-time groin (inguinal) hernia causing a bulge, discomfort, or a risk of tissue becoming trapped.
Hernia repair: how much does Medicare pay?: Nationally, the Q3 2026 Physician Fee Schedule pays $424.19 in an office (non-facility) setting and $424.19 in a facility setting for 49650. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Hernia repair: what else affects the billing?: Repairing a hernia that has come back after earlier surgery is a separate, more involved procedure.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

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This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim — the correct code always depends on what was actually documented and performed.

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