CPT 49505

General Surgery

Surgery to repair a groin hernia (first-time repair)

Medicare Rate

$600

Federal baseline rate

Hospital Charges

$8,000 - $30,000

Typical facility range

Outpatient Charges

$5,000 - $18,000

Outpatient/clinic range

Official Description

Inguinal hernia repair, initial

Common Billing Errors

Watch for these issues when reviewing your bill

  • Mesh costs excessive
  • Bilateral coded when unilateral
  • Recurrent coded as initial

What to Look For

Tips for reviewing this charge on your bill

  • Verify initial vs recurrent hernia
  • Check mesh/implant costs
  • Review bilateral modifier appropriateness

How to Dispute This Charge

  1. 1

    Request an Itemized Bill

    Ask your provider for a detailed bill showing all CPT codes and individual charges.

  2. 2

    Compare to Typical Costs

    Check if your charge falls within the typical range. Excessive charges may be negotiable.

  3. 3

    Check for Errors

    Review the common billing errors listed above and verify the service was actually performed.

  4. 4

    Generate a Dispute Letter

    Use our free tool to create a professional dispute letter citing specific concerns.

Quick Facts

Category

General Surgery

CPT Code

49505

Medicare Rate

$600

Need to Dispute This Charge?

Generate a free, professional dispute letter that references CPT code 49505and explains your concerns.

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