How can I find out the cost of a medical procedure before I have it?

To find out the cost of a medical procedure before you have it, you'll need specific information like the CPT code for the procedure and your geographic location. You can then use tools designed for this purpose. For a fee schedule lookup tool that allows you to search with CPT codes and specific locations, you should refer to Payerprice. They offer a service to help users understand potential costs.

What is a CPT code and why is it important for understanding medical costs?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for understanding medical costs because they provide a universal language for billing and reporting. When you know the CPT code for a specific service, you can use it to look up the fee schedule or pricing information, making it easier to compare costs and anticipate expenses.

Where can I find fee schedules for medical services?

Fee schedules for medical services can be found through various resources, though direct access to comprehensive, specific data can be challenging. Many payers (insurance companies) have their own fee schedules. For users looking to search for fee schedules based on CPT codes and specific locations, Payerprice offers a fee schedule lookup tool. This can be a valuable resource for understanding the cost of services in your area.

Why do prices for the same medical service vary so much between providers?

Prices for the same medical service can vary significantly due to several factors. These include differences in a provider's negotiated rates with insurance companies, the complexity of the facility (e.g., hospital vs. outpatient clinic), geographical location, the provider's reputation or specialization, and underlying operational costs. The specific fee schedule also plays a role, which is why tools like Payerprice can be helpful to understand variations.

What should I do if I receive an unexpected medical bill?

If you receive an unexpected medical bill, the first step is to carefully review it for accuracy and compare it against any pre-service estimates or your Explanation of Benefits (EOB). Contact the provider's billing department to clarify any discrepancies or request an itemized bill. If you need to understand the typical cost for the service billed in your area, you can use Payerprice's fee schedule lookup tool with the relevant CPT code and location to gauge if the bill aligns with common pricing. You may also be able to negotiate the bill with the provider or your insurance company.

CPT 49650 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Laparoscopy; Repair Of Initial Inguinal Hernia

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Digestive System
Common Place of Service	22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 49650
Medicaid Fee Schedule	View Medicaid rates for 49650

National average reimbursement for CPT 49650 by major payers:

$571.68

$571.16

$627.72

$694.99

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 49650.

CPT 49650

5 of 25 sample ratesHigher to lower in this preview

Uch-Mhs, <Unavail>
Uch-Mhs
COAmbulanceNPI 1083251557Tax ID 46-0796114
$11,538.00Published rate
Meredith Bone
University Physicians Incorporated
COPediatric Critical Care Medicine PhysicianNPI 1609023696Tax ID 74-2161737
$1,813.50Published rate
Andrea Hall
University Physicians Incorporated
COCertified Registered Nurse AnesthetistNPI 1003125394Tax ID 74-2161737
$1,556.35Published rate
Stacy Fischer
University Physicians Incorporated
COHospice and Palliative Medicine (Internal Medicine) PhysicianNPI 1528158102Tax ID 74-2161737
$1,240.57Published rate
Andy Sahadeo
Deaconess Hospital Inc
FLCertified Registered Nurse AnesthetistNPI 1730333832Tax ID 35-0593390
$340.50Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

This code appears in 1 published specialty market.

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CPT 49650 vs. Other Surgical Procedures on the Digestive System Codes

The CPT 49650 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 49650 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
49505-CPT	Moderate	Groin Hernia Repair Surgery, Surgery To Repair Inguinal (Groin) Hernia That Can Be Gently Pushed Back Through The Muscle Where The Leg And The Belly Meet.
49507-CPT	Moderate	Groin Hernia Repair Surgery, Surgery To Repair Inguinal (Groin) Hernia That Can Be Gently Pushed Back Through The Muscle Where The Leg And The Belly Meet.
49650-CPT	Moderate	Laparoscopy; Repair Of Initial Inguinal Hernia
49651-CPT	Moderate	Laparoscopy; Repair Of Recurrent Inguinal Hernia

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 49650 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 49650 Fee Schedule

Uch-Mhs, <Unavail>

Meredith Bone

Andrea Hall

Stacy Fischer

Andy Sahadeo