Price Checker / CPT 39540

How much does Repair Of Diaphragm Hernia cost?

CPT 39540 · Based on 2026 Medicare rates and hospital-published pricing

Fair price

The average hospital charge is in line with what this normally costs. No need to dispute.

Fair price

$1,850–$2,200

What this should cost

With insurance

~$3,050

Typical out-of-pocket

Overcharged if over

$2,750

Push back above this

What hospitals charge for Repair Of Diaphragm Hernia

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
St. Peter's Health Regional Medical Center

Helena, MT

$3613124%

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About Repair Of Diaphragm Hernia

CPT code 39540 refers to repair of diaphragm hernia (billing description: "Repair of diaphragm hernia"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $818 in a facility (hospital or surgery center) and $818 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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