CPT code 49521: Inguinal hernia repair, recurrent, incarcerated or strangulated2026 Medicare rate & RVUs in Bartlett, Illinois

CPT 49521: $768.73–$815.04 facility across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 49521 in Bartlett, Illinois.

—Office (non-facility)

$768.73–$815.04Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 6 sections

Rate in Bartlett, Illinois
By payment locality
City and payment areas
How it’s calculated
Payment rules
Sources

Where 49521 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

49521 office and facility rates by payment locality
Payment locality	Office	Facility
Chicago, IL	Unavailable	$815.04
Suburban Chicago, IL	Unavailable	$768.73

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

Chicago · Cook County
Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 49521 rate is calculated

Each of 49521’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 49521

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work11.19

11.19 RVUs× 1.000 GPCI

Practice expense6.40

6.40 RVUs× 1.000 GPCI

Malpractice2.92

2.92 RVUs× 1.000 GPCI

Adjusted RVUs

20.5100

Conversion factor

$33.4009

Medicare rate

$685.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 49521

49521 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 49521

Inguinal hernia repair, recurrent, incarcerated or strangulated

Rule	CMS value	What it means
Global period	090	Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures	2	Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)	1	Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)	2	Paid.
Co-surgeons (62)	1	Permitted with supporting documentation.
Team surgery (66)	0	Not permitted.
Professional/technical	0	Physician service: no professional/technical split.
Split (54/55/56)	0.09/0.81/0.10	Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 49521

Inguinal hernia repair, recurrent, incarcerated or strangulated

Date of surgery

Date of a later visit

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

24Unrelated E/M visit by the same physician
79Unrelated procedure (starts its own global period)
58Staged, more extensive, or therapy procedure that was planned
78Unplanned return to the operating room for a related complication

SurgeryVisit

Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

49521 without 50 · national facility

$685.05

Inguinal hernia repair, recurrent, incarcerated or strangulated

49521-50 · Bilateral: 150%

$1,027.58

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate

RVUs for 49521PPRRVU2026_Oct_nonQPP.csv, line 5,830 (RVU26D)

5,82749505,,[CPT descriptor omitted],A,,7.76,5.40,NA,5.40,,2.05,15.21,15.21,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,82849507,,[CPT descriptor omitted],A,,8.86,5.83,NA,5.83,,2.32,17.01,17.01,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,82949520,,[CPT descriptor omitted],A,,9.74,5.91,NA,5.91,,2.56,18.21,18.21,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,83049521,,[CPT descriptor omitted],A,,11.19,6.40,NA,6.40,,2.92,20.51,20.51,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,83149525,,[CPT descriptor omitted],A,,8.71,5.61,NA,5.61,,2.28,16.60,16.60,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,83249540,,[CPT descriptor omitted],A,,10.47,6.10,NA,6.10,,2.70,19.27,19.27,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,83349550,,[CPT descriptor omitted],A,,8.77,5.65,NA,5.65,,2.30,16.72,16.72,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Open CMS source How we calculate rates

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Where 49521 pays more and less in Bartlett, Illinois

How payment areas work in Bartlett

How the 49521 rate is calculated

Payment rules and modifiers for 49521

What modifiers do to the payment

Where these rates come from

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