Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR RPR AA HERNIA RECR < 3 CM REDUCIBLE
Boulder, CO
See all hospitals reporting CPT 49613 →Price type
Boulder Community Health’s median price of $700 is 82% below the median hospital's median price ($3.9k), higher than 12% of the 1,811 hospitals reporting CPT 49613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Healthpartners managed medicaid professional · fee schedule · both | $347 | $347 | — | — | — | $347 – $347 |
| 2 | Aetna medicare advantage professional · case rate · both | $382 | $382 | — | — | — | $382 – $382 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $382 | $382 | — | — | — | $382 – $382 |
| 4 | Devoted medicare advantage professional · fee schedule · both | $382 | $382 | — | — | — | $382 – $382 |
| 5 | Humana medicare advantage professional · fee schedule · both | $382 | $382 | — | — | — | $382 – $382 |
| 6 | Aetna ppo professional · fee schedule · both | $420 | $420 | — | — | — | $420 – $420 |
| 7 | Kaiser medicare advantage professional · fee schedule · both | $473 | $473 | — | — | — | $473 – $473 |
| 8 | Anthem commercial professional · fee schedule · both | $514 | $564 | $81 | 14% | — | $514 – $692 |
| 9 | Kaiser commercial professional · fee schedule · both | $603 | $603 | — | — | — | $603 – $603 |
| 10 | Aetna commercial professional · fee schedule · both | $605 | $605 | $185 | 31% | — | $420 – $790 |
| 11 | MultiPlan commercial professional · fee schedule · both | $640 | $640 | — | — | — | $640 – $640 |
| 12 | Phcs commercial professional · fee schedule · both | $640 | $640 | — | — | — | $640 – $640 |
| 13 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $658 | $658 | — | — | — | $658 – $658 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $669 | $669 | — | — | — | $669 – $669 |
| 15 | Anthem managed care professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 16 | Cigna commercial professional · fee schedule · both | $698 | $698 | — | — | — | $698 – $698 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $871 | $871 | — | — | — | $871 – $871 |
| 18 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.1k | $2.1k | $1.7k | 82% | — | $382 – $3.8k |
| 19 | Aetna medicare advantage facility · case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 20 | Anthem medicare advantage facility · case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 21 | Humana medicare advantage facility · case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | Kaiser medicare advantage facility · case rate · outpatient | $3.9k | $3.9k | $19 | 0% | — | $3.9k – $3.9k |
| 24 | Devoted medicare advantage facility · case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 25 | Kaiser commercial facility · case rate · outpatient | $8.3k | $8.3k | $1.0k | 12% | — | $7.3k – $9.3k |
Last updated: Sep 16, 2026
See Recurrent abdominal wall hernia repair with mesh pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.