Hernia Rpr,Umb>5Y/O Reducible
As billed by one hospital: “Rpr umbil hern reduc > 5 yr”
Based on the latest published hospital price files, code 49585 (Hernia Rpr,Umb>5Y/O Reducible) appears at 2 hospitals across 2 cities in 2 states with disclosed cash prices from $7,899 to $7,899. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a digestive-system service — for example an endoscopy, colonoscopy, or another GI procedure — usually performed in an outpatient setting.
What affects the price
A screening version of a procedure may be covered differently from a diagnostic one with the same code, and anesthesia is often billed separately. Confirm how it will be coded before you go, and ask for the anesthesia estimate too.
This code is part of Hernia repair — compare it alongside the other codes for that service.
Category: Digestive & Gastroenterology
Published-price availability
Compare 49585 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
2 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Rpr umbil hern reduc > 5 yr Outpatientapprox. match | SUTTER CENTER FOR PSYCHIATRY | 49585 HCPCS | — | — | $8,152 – $8,152 | — | |
| Hernia Rpr,Umb>5Y/O Reducible Inpatient & outpatientapprox. match | Houston Methodist Baytown Hospital | 49585 HCPCS | $15,798 | $7,899 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 49585 prices
Open a hospital to see this code in the context of its full published prices.
Code 49585: frequently asked
- What does code 49585 cost?
- Across the published hospital price files, the disclosed cash price for 49585 ranges from $7,899 to $7,899. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 49585?
- 49585 is the billing code hospitals use to identify "Hernia Rpr,Umb>5Y/O Reducible" on their published price files. We use it to line up the same service across different hospitals.
- Why do 49585 prices differ between hospitals?
- 2 hospitals across 2 states publish a price for 49585 here. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.