Price Checker / CPT 49606

How much does Repair Umbilical Lesion cost?

CPT 49606 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $1,600–$3,200.

Fair price

$1,600–$3,200

What this should cost

With insurance

~$3,100

Typical out-of-pocket

Overcharged if over

$4,000

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About Repair Umbilical Lesion

CPT code 49606 refers to repair umbilical lesion (billing description: "Repair umbilical lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,060 in a facility (hospital or surgery center) and $1,060 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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