CPT code 49550: Femoral hernia repair, initial, reducible2026 Medicare rate & RVUs in Oxnard, CA
Open repair of an initial, reducible femoral hernia, selected when the operative findings identify a femoral defect rather than an inguinal hernia.
In Oxnard, CA, Medicare pays $572.05 for 49550 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 49550 nationwide
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 11 sections
What 49550 covers
This code describes open surgery to repair a femoral hernia that can be reduced and has not been repaired previously. The defect is in the groin at the femoral canal, below the inguinal ligament. A surgeon returns the hernia contents and repairs the defect. General surgeons commonly perform this operation in a hospital or ambulatory surgery setting.
Choose the code from the documented anatomic site, whether the hernia is initial or recurrent, and whether it is reducible. The operative report should support the femoral location, reducibility, laterality, and repair performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Oxnard, CA compares for 49550
Across 109 of 109 payment localities, the facility rate for 49550 runs from $494.60 in Arkansas to $683.66 in Miami, FL. Oxnard, CA pays $572.05. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oxnard, CA · this page$572.05
- Bakersfield, CA · California$552.11−$19.94
- Chico, CA · California$545.91−$26.14
- El Centro, CA · California$546.30−$25.75
- Fresno, CA · California$545.91−$26.14
- Hanford, CA · California$545.91−$26.14
- Los Angeles, CA · California$579.20+$7.15
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $545.91 |
| Merced, CACalifornia | — | $545.91 |
| Modesto, CACalifornia | — | $545.91 |
| Napa, CACalifornia | — | $599.13 |
| Redding, CACalifornia | — | $545.91 |
| Rest of CaliforniaCalifornia | — | $545.91 |
| Riverside, CACalifornia | — | $570.56 |
| Sacramento, CACalifornia | — | $564.12 |
| Salinas, CACalifornia | — | $561.90 |
| San Diego, CACalifornia | — | $569.05 |
| Marin County, CACalifornia | — | $622.10 |
| San Francisco, CACalifornia | — | $619.49 |
| San Benito County, CACalifornia | — | $638.45 |
| Santa Clara County, CACalifornia | — | $627.77 |
| San Luis Obispo, CACalifornia | — | $554.03 |
| Santa Cruz, CACalifornia | — | $569.54 |
| Santa Maria, CACalifornia | — | $562.35 |
| Santa Rosa, CACalifornia | — | $574.63 |
| Stockton, CACalifornia | — | $545.91 |
| Vallejo, CACalifornia | — | $595.37 |
| Visalia, CACalifornia | — | $545.91 |
| Yuba City, CACalifornia | — | $545.91 |
| Washington, DC areaDistrict of Columbia | — | $616.55 |
| Miami, FLFlorida | — | $683.66 |
| Chicago, ILIllinois | — | $660.94 |
| Manhattan, NYNew York | — | $652.80 |
| AlaskaAlaska | — | $682.70 |
| AlabamaAlabama | — | $501.53 |
| ArkansasArkansas | — | $494.60 |
| ArizonaArizona | — | $541.55 |
| ColoradoColorado | — | $557.23 |
| ConnecticutConnecticut | — | $594.99 |
| DelawareDelaware | — | $549.90 |
| Fort Lauderdale, FLFlorida | — | $622.99 |
| Rest of FloridaFlorida | — | $588.80 |
| Atlanta, GAGeorgia | — | $577.80 |
| Rest of GeorgiaGeorgia | — | $552.83 |
| Hawaii, Guam, HIHawaii | — | $551.97 |
| IowaIowa | — | $496.10 |
| IdahoIdaho | — | $502.88 |
| East St. Louis, ILIllinois | — | $621.26 |
| Rest of IllinoisIllinois | — | $585.30 |
| Suburban Chicago, ILIllinois | — | $624.92 |
| IndianaIndiana | — | $505.20 |
| KansasKansas | — | $502.24 |
| KentuckyKentucky | — | $530.99 |
| New Orleans, LALouisiana | — | $557.78 |
| Rest of LouisianaLouisiana | — | $533.53 |
| Metropolitan Boston, MAMassachusetts | — | $598.63 |
| Rest of MassachusettsMassachusetts | — | $557.56 |
| Baltimore area, MDMaryland | — | $595.13 |
| Rest of MarylandMaryland | — | $557.36 |
| Rest of MaineMaine | — | $514.33 |
| Southern Maine, MEMaine | — | $528.42 |
| Detroit, MIMichigan | — | $604.56 |
| Rest of MichiganMichigan | — | $551.95 |
| MinnesotaMinnesota | — | $509.85 |
| Metropolitan Kansas City, MOMissouri | — | $545.18 |
| Metropolitan St. Louis, MOMissouri | — | $549.56 |
| Rest of MissouriMissouri | — | $530.42 |
| MississippiMississippi | — | $512.18 |
| MontanaMontana | — | $558.31 |
| North CarolinaNorth Carolina | — | $518.09 |
| North DakotaNorth Dakota | — | $512.83 |
| NebraskaNebraska | — | $496.15 |
| New HampshireNew Hampshire | — | $556.60 |
| Northern New JerseyNew Jersey | — | $612.34 |
| Rest of New JerseyNew Jersey | — | $594.99 |
| New MexicoNew Mexico | — | $558.24 |
| NevadaNevada | — | $545.82 |
| NYC suburbs and Long Island, NYNew York | — | $678.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $605.71 |
| Queens, NYNew York | — | $645.51 |
| Rest of New YorkNew York | — | $526.21 |
| OhioOhio | — | $542.66 |
| OklahomaOklahoma | — | $521.14 |
| Portland, OROregon | — | $564.43 |
| Rest of OregonOregon | — | $534.89 |
| Metropolitan Philadelphia, PAPennsylvania | — | $586.30 |
| Rest of PennsylvaniaPennsylvania | — | $538.76 |
| Puerto RicoPuerto Rico | — | $559.39 |
| Rhode IslandRhode Island | — | $561.96 |
| South CarolinaSouth Carolina | — | $532.60 |
| South DakotaSouth Dakota | — | $507.45 |
| TennesseeTennessee | — | $505.72 |
| Austin, TXTexas | — | $561.24 |
| Beaumont, TXTexas | — | $536.02 |
| Brazoria, TXTexas | — | $542.21 |
| Dallas, TXTexas | — | $549.44 |
| Fort Worth, TXTexas | — | $548.55 |
| Galveston, TXTexas | — | $546.27 |
| Houston, TXTexas | — | $588.37 |
| Rest of TexasTexas | — | $541.39 |
| UtahUtah | — | $539.30 |
| VirginiaVirginia | — | $532.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $559.39 |
| VermontVermont | — | $518.63 |
| Rest of WashingtonWashington | — | $553.91 |
| King County, WAWashington | — | $601.89 |
| WisconsinWisconsin | — | $497.38 |
| West VirginiaWest Virginia | — | $566.85 |
| WyomingWyoming | — | $538.49 |
49550 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 49550 rate is calculated
Each of 49550’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 · 49550
RVUs × geographic indexes × conversion factor
Work8.77
8.77 RVUs× 1.000 GPCI
Practice expense5.65
5.65 RVUs× 1.000 GPCI
Malpractice2.30
2.30 RVUs× 1.000 GPCI
Adjusted RVUs
16.7200
Conversion factor
$33.4009
Medicare rate
$558.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oxnard, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,833
- Code
- 49550
- Physician work
- 8.77
- Practice expense
- 5.65
- Malpractice
- 2.30
GPCI2026.csv
18
- Locality
- Oxnard, CA
- Physician work
- 1.028
- Practice expense
- 1.182
- Malpractice
- 0.623
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.77 | × 1.028 | 9.0156 |
| Practice expense | 5.65 | × 1.182 | 6.6783 |
| Malpractice | 2.30 | × 0.623 | 1.4329 |
| Total RVUs | 17.1268 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oxnard, CA$572.05
Facility: (8.77 × 1.028 + 5.65 × 1.182 + 2.3 × 0.623) × $33.4009 = $572.05
Payment rules and modifiers for 49550
49550 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 49550
Femoral hernia repair, initial, reducible
| 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 · 49550
Femoral hernia repair, initial, reducible
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
49550 without 50 · national facility
$558.46
Femoral hernia repair, initial, reducible
49550-50 · Bilateral: 150%
$837.69
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).
How 49550 has changed in Oxnard, CA
49550 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $572.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $572.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $572.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $572.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $589.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $589.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $589.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $589.87 | RVU25A |
| 2024-10-01 | Not available in this setting | $600.95 | RVU24D |
| 2024-07-01 | Not available in this setting | $600.95 | RVU24C |
| 2024-04-01 | Not available in this setting | $600.95 | RVU24B |
| 2024-03-09 | Not available in this setting | $600.95 | RVU24AR |
| 2024-01-01 | Not available in this setting | $591.14 | RVU24A |
| 2023-10-01 | Not available in this setting | $610.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $610.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $610.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $610.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $622.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $622.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $622.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $622.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $621.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $621.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $621.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $621.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $627.32 | RVU20D |
| 2020-07-01 | Not available in this setting | $627.32 | RVU20C |
| 2020-04-01 | Not available in this setting | $627.32 | RVU20B |
| 2020-01-01 | Not available in this setting | $627.32 | RVU20A |
| 2019-10-01 | Not available in this setting | $619.25 | RVU19D |
| 2019-07-01 | Not available in this setting | $619.25 | RVU19C |
| 2019-04-01 | Not available in this setting | $619.25 | RVU19B |
| 2019-01-01 | Not available in this setting | $619.25 | RVU19A |
| 2018-10-01 | Not available in this setting | $617.06 | RVU18D |
| 2018-07-01 | Not available in this setting | $617.06 | RVU18C |
| 2018-04-01 | Not available in this setting | $617.06 | RVU18B |
| 2018-01-01 | Not available in this setting | $617.06 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $622.24 | RVU17D |
| 2017-07-01 | Not available in this setting | $622.24 | RVU17C |
| 2017-04-01 | Not available in this setting | $622.24 | RVU17B |
| 2017-01-01 | Not available in this setting | $622.24 | RVU17A |
| 2016-10-01 | Not available in this setting | $628.90 | RVU16D |
| 2016-07-01 | Not available in this setting | $628.90 | RVU16C |
| 2016-04-01 | Not available in this setting | $628.90 | RVU16B |
| 2016-01-01 | Not available in this setting | $628.90 | RVU16A |
| 2015-10-01 | Not available in this setting | $629.72 | RVU15D |
| 2015-07-01 | Not available in this setting | $629.72 | RVU15C |
| 2015-04-01 | Not available in this setting | $626.59 | RVU15B |
| 2015-01-01 | Not available in this setting | $626.59 | RVU15A |
| 2014-10-01 | Not available in this setting | $613.76 | RVU14D |
| 2014-07-01 | Not available in this setting | $613.76 | RVU14C |
| 2014-04-01 | Not available in this setting | $613.76 | RVU14B |
| 2014-01-01 | Not available in this setting | $613.76 | RVU14A |
| 2013-10-01 | Not available in this setting | $606.82 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Oxnard, CA rate applies
Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Oxnard
- Thousand Oaks
- Bell Canyon
- Camarillo
- Casa Conejo
- Channel Islands Beach
- El Rio
- Fillmore
49550 billing questions
How does this differ from an inguinal hernia repair?
Select this code when the operative documentation identifies a femoral defect at the femoral canal. An inguinal hernia has a different anatomic site, even though both present in the groin.
When is the incarcerated femoral hernia code used instead?
Use 49553 for an initial femoral hernia documented as incarcerated or strangulated. This code is for an initial hernia that is reducible.
Can modifier 50 be reported for bilateral repair?
Yes. CMS pays this bilateral procedure reported with modifier 50 at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
Fee sheets · Coming soon
Put 49550 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist