Medicare Inguinal Hernia Repair Cost 2026 | Out-of-Pocket Estimator

Open inguinal hernia repair (CPT 49505) is a common Medicare outpatient surgery. It is covered under Part B. Choosing an ASC over HOPD typically saves about $300–$400.

2026 Medicare Cost Summary — Inguinal Hernia Repair (CPT 49505)

Source: CMS 2026 MPFS, OPPS Final Rule, ASC Final Rule, IPPS. All amounts are national averages.

Cost Component Medicare-Approved Amount Your Share (20%)
Surgeon Fee — Inguinal Hernia Repair (CPT 49505)$508$102
Hospital Outpatient (HOPD) Facility Fee$3,657$731
Ambulatory Surgery Center (ASC) Facility Fee$1,744$349
Inpatient Hospital (DRG 352) — Medicare Pays$8,498$1,736 Part A deductible
Anesthesia (estimated)$400–$70020% of approved

What Medicare Pays

Medicare pays 80% of the approved amount for Part B services after your $283 annual deductible. With no supplemental insurance, you owe the remaining 20% with no annual out-of-pocket cap. With Medigap Plan G, you pay only the $283 Part B deductible — everything else is covered. With Medigap Plan N, you pay the $283 deductible plus a $20 copay per visit.

About This Calculator

MediCostCalc uses 2026 CMS official fee schedules — the Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC) Final Rule, and Inpatient Prospective Payment System (IPPS) — to give you a personalized, line-item cost estimate. No sign-up required. All data is from official CMS sources.