Price Checker / CPT 49190
How much does Opn Exc/dstr Ntra-abd >30 Cm cost?
CPT 49190 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$5,750–$6,750
What this should cost
With insurance
~$3,600
Typical out-of-pocket
Overcharged if over
$8,450
Push back above this
The average hospital charge of $6,275 is $25 over the fair price.
What hospitals charge for Opn Exc/dstr Ntra-abd >30 Cm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Margaret Mary Health , OH | $6,275 | — | 138% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Opn Exc/dstr Ntra-abd >30 Cm
CPT code 49190 refers to opn exc/dstr ntra-abd >30 cm (billing description: "Opn exc/dstr ntra-abd >30 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $2,640 in a facility (hospital or surgery center) and $2,640 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.