Price Checker / CPT 49605
How much does Repair Umbilical Lesion cost?
CPT 49605 · 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
$19,300–$22,700
What this should cost
With insurance
~$3,850
Typical out-of-pocket
Overcharged if over
$28,400
Push back above this
The average hospital charge of $21,105 is $105 over the fair price.
What hospitals charge for Repair Umbilical Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UPMC Chautauqua Jamestown, NY | $60,374 | — | 1110% |
| UPMC Magee Pittsburgh, PA | $55,995 | — | 1047% |
| Intermountain Health Alta View Hospital Sandy, UT | — | — | 971% |
| Intermountain Health Heber Valley Hospital Heber City, UT | — | — | 920% |
| Children's Hospital Medical Center Cincinnati, OH | $33,080 | — | 637% |
| Henry Ford Providence Novi Hospital Novi, MI | — | — | 284% |
| Valley County Health System Ord, NE | — | — | 206% |
| DeSoto Regional Health System MANSFIELD, LA | $12,755 | — | 184% |
| Salem Health Salem, OR | $12,668 | — | 182% |
| Salem Health West Valley Dallas, OR | $12,668 | — | 182% |
| Illini Community Hospital Pittsfield, IL | — | — | 181% |
| Fillmore County Hospital Geneva, NE | — | — | 139% |
| Community Memorial Hospital - Burke Burke, SD | — | — | 77% |
| University of Michigan Health-Sparrow Specialty Hospital Lansing, MI | $9,654 | — | 74% |
| Broaddus Hospital Association Inc Philippi, WV | — | — | 69% |
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 Repair Umbilical Lesion
CPT code 49605 refers to repair umbilical lesion (billing description: "Repair umbilical lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $4,491 in a facility (hospital or surgery center) and $4,491 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.