No office rate
Both codes describe inguinal hernia repair in an infant younger than 6 months; 49495 is for a reducible hernia, while 49496 is for an incarcerated hernia.
On this page
CMS RVU26D · Effective 2026-10-01
49495 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$382.74
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Pediatric surgery
About 49495: Infant reducible inguinal hernia repair
Surgical repair of an initial, reducible inguinal hernia in an infant younger than 6 months, selected by age and hernia status.
This service is the operative repair of an initial inguinal hernia in an infant younger than 6 months when the hernia is reducible. Pediatric surgeons commonly perform the procedure in a hospital operating room. The operative report should establish the patient’s age, the inguinal hernia diagnosis, its reducibility, and the repair performed.
Choose this code for the reducible infant presentation, not the code for an incarcerated hernia or the distinct premature-infant category. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. If multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral repair, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 49495
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.05 · 51%
- Practice expense (office) RVU4.29 · 36%
- Malpractice RVU1.62 · 14%
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.
49495 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
49491 identifies the premature-infant category. Use 49495 for the reducible infant case when the distinct premature-infant category does not apply.
No office rate
49500 is for a reducible initial inguinal hernia in a child age 6 months to younger than 5 years; 49495 is for an infant younger than 6 months.
The same code, a different location
How does Beaumont compare?
49495 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 49495
Office
Unavailable
Facility
$386.92
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 49495
Office
Unavailable
Facility
$415.80
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 49495
Office
Unavailable
Facility
$442.01
No comparable office rate is available.
Miami
Florida · 49495
Office
Unavailable
Facility
$488.08
No comparable office rate is available.
Chicago
Illinois · 49495
Office
Unavailable
Facility
$471.68
No comparable office rate is available.
Manhattan
New York · 49495
Office
Unavailable
Facility
$467.33
No comparable office rate is available.
Alaska*
Alaska · 49495
Office
Unavailable
Facility
$485.53
No comparable office rate is available.
Alabama
Alabama · 49495
Office
Unavailable
Facility
$358.08
No comparable office rate is available.
Arkansas
Arkansas · 49495
Office
Unavailable
Facility
$353.03
No comparable office rate is available.
Arizona
Arizona · 49495
Office
Unavailable
Facility
$387.24
No comparable office rate is available.
Bakersfield
California · 49495
Office
Unavailable
Facility
$395.91
No comparable office rate is available.
Chico
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
El Centro
California · 49495
Office
Unavailable
Facility
$391.83
No comparable office rate is available.
Fresno
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Hanford-Corcoran
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Madera
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Merced
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Modesto
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Napa
California · 49495
Office
Unavailable
Facility
$431.15
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 49495
Office
Unavailable
Facility
$410.81
No comparable office rate is available.
Redding
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Rest Of California
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 49495
Office
Unavailable
Facility
$408.91
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 49495
Office
Unavailable
Facility
$405.00
No comparable office rate is available.
Salinas
California · 49495
Office
Unavailable
Facility
$403.42
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 49495
Office
Unavailable
Facility
$408.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 49495
Office
Unavailable
Facility
$448.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 49495
Office
Unavailable
Facility
$446.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 49495
Office
Unavailable
Facility
$459.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 49495
Office
Unavailable
Facility
$452.41
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 49495
Office
Unavailable
Facility
$397.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 49495
Office
Unavailable
Facility
$409.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 49495
Office
Unavailable
Facility
$403.81
No comparable office rate is available.
Santa Rosa-Petaluma
California · 49495
Office
Unavailable
Facility
$413.10
No comparable office rate is available.
Stockton
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Vallejo
California · 49495
Office
Unavailable
Facility
$428.50
No comparable office rate is available.
Visalia
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Yuba City
California · 49495
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Colorado
Colorado · 49495
Office
Unavailable
Facility
$399.22
No comparable office rate is available.
Connecticut
Connecticut · 49495
Office
Unavailable
Facility
$425.91
No comparable office rate is available.
Delaware
Delaware · 49495
Office
Unavailable
Facility
$393.30
No comparable office rate is available.
Fort Lauderdale
Florida · 49495
Office
Unavailable
Facility
$445.06
No comparable office rate is available.
Rest Of Florida
Florida · 49495
Office
Unavailable
Facility
$420.39
No comparable office rate is available.
Atlanta
Georgia · 49495
Office
Unavailable
Facility
$413.25
No comparable office rate is available.
Rest Of Georgia
Georgia · 49495
Office
Unavailable
Facility
$394.39
No comparable office rate is available.
Hawaii, Guam
Hawaii · 49495
Office
Unavailable
Facility
$396.33
No comparable office rate is available.
Iowa
Iowa · 49495
Office
Unavailable
Facility
$354.67
No comparable office rate is available.
Idaho
Idaho · 49495
Office
Unavailable
Facility
$359.50
No comparable office rate is available.
East St. Louis
Illinois · 49495
Office
Unavailable
Facility
$442.88
No comparable office rate is available.
Rest Of Illinois
Illinois · 49495
Office
Unavailable
Facility
$417.47
No comparable office rate is available.
Suburban Chicago
Illinois · 49495
Office
Unavailable
Facility
$446.53
No comparable office rate is available.
Indiana
Indiana · 49495
Office
Unavailable
Facility
$361.20
No comparable office rate is available.
Kansas
Kansas · 49495
Office
Unavailable
Facility
$358.88
No comparable office rate is available.
Kentucky
Kentucky · 49495
Office
Unavailable
Facility
$378.97
No comparable office rate is available.
New Orleans
Louisiana · 49495
Office
Unavailable
Facility
$398.38
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 49495
Office
Unavailable
Facility
$380.72
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 49495
Office
Unavailable
Facility
$429.61
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 49495
Office
Unavailable
Facility
$399.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 49495
Office
Unavailable
Facility
$425.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 49495
Office
Unavailable
Facility
$398.78
No comparable office rate is available.
Rest Of Maine
Maine · 49495
Office
Unavailable
Facility
$367.56
No comparable office rate is available.
Southern Maine
Maine · 49495
Office
Unavailable
Facility
$378.22
No comparable office rate is available.
Detroit
Michigan · 49495
Office
Unavailable
Facility
$431.58
No comparable office rate is available.
Rest Of Michigan
Michigan · 49495
Office
Unavailable
Facility
$393.99
No comparable office rate is available.
Minnesota
Minnesota · 49495
Office
Unavailable
Facility
$365.54
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 49495
Office
Unavailable
Facility
$389.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 49495
Office
Unavailable
Facility
$392.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 49495
Office
Unavailable
Facility
$378.29
No comparable office rate is available.
Mississippi
Mississippi · 49495
Office
Unavailable
Facility
$365.43
No comparable office rate is available.
Montana**
Montana · 49495
Office
Unavailable
Facility
$399.37
No comparable office rate is available.
North Carolina
North Carolina · 49495
Office
Unavailable
Facility
$370.34
No comparable office rate is available.
North Dakota**
North Dakota · 49495
Office
Unavailable
Facility
$367.33
No comparable office rate is available.
Nebraska
Nebraska · 49495
Office
Unavailable
Facility
$354.79
No comparable office rate is available.
New Hampshire
New Hampshire · 49495
Office
Unavailable
Facility
$398.59
No comparable office rate is available.
Northern Nj
New Jersey · 49495
Office
Unavailable
Facility
$438.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 49495
Office
Unavailable
Facility
$425.99
No comparable office rate is available.
New Mexico
New Mexico · 49495
Office
Unavailable
Facility
$398.46
No comparable office rate is available.
Nevada**
Nevada · 49495
Office
Unavailable
Facility
$390.58
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 49495
Office
Unavailable
Facility
$485.86
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 49495
Office
Unavailable
Facility
$433.54
No comparable office rate is available.
Queens
New York · 49495
Office
Unavailable
Facility
$462.40
No comparable office rate is available.
Rest Of New York
New York · 49495
Office
Unavailable
Facility
$376.24
No comparable office rate is available.
Ohio
Ohio · 49495
Office
Unavailable
Facility
$387.44
No comparable office rate is available.
Oklahoma
Oklahoma · 49495
Office
Unavailable
Facility
$372.08
No comparable office rate is available.
Portland
Oregon · 49495
Office
Unavailable
Facility
$404.76
No comparable office rate is available.
Rest Of Oregon
Oregon · 49495
Office
Unavailable
Facility
$382.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 49495
Office
Unavailable
Facility
$419.43
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 49495
Office
Unavailable
Facility
$384.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 49495
Office
Unavailable
Facility
$400.24
No comparable office rate is available.
Rhode Island
Rhode Island · 49495
Office
Unavailable
Facility
$402.20
No comparable office rate is available.
South Carolina
South Carolina · 49495
Office
Unavailable
Facility
$380.47
No comparable office rate is available.
South Dakota**
South Dakota · 49495
Office
Unavailable
Facility
$363.55
No comparable office rate is available.
Tennessee
Tennessee · 49495
Office
Unavailable
Facility
$361.38
No comparable office rate is available.
Utah
Utah · 49495
Office
Unavailable
Facility
$385.36
No comparable office rate is available.
Virginia
Virginia · 49495
Office
Unavailable
Facility
$381.13
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 49495
Office
Unavailable
Facility
$400.24
No comparable office rate is available.
Vermont
Vermont · 49495
Office
Unavailable
Facility
$371.31
No comparable office rate is available.
Rest Of Washington
Washington · 49495
Office
Unavailable
Facility
$396.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 49495
Office
Unavailable
Facility
$432.20
No comparable office rate is available.
Wisconsin
Wisconsin · 49495
Office
Unavailable
Facility
$356.01
No comparable office rate is available.
West Virginia
West Virginia · 49495
Office
Unavailable
Facility
$404.02
No comparable office rate is available.
Wyoming**
Wyoming · 49495
Office
Unavailable
Facility
$385.41
No comparable office rate is available.
See how rates vary across the country
49495 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 49495 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$421.01
$382.74 × 110% = $421.01
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 49495 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
5,823
- Code
- 49495
- Physician work
- 6.05
- Practice expense
- 4.29
- Malpractice
- 1.62
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.05 | × 1.000 | 6.0500 |
| Practice expense | 4.29 | × 0.910 | 3.9039 |
| Malpractice | 1.62 | × 0.929 | 1.5050 |
| Total RVUs | 11.4589 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$382.74
Open 49495 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1 |
| Practice expense | 4.29 | 0.91 |
| Malpractice | 1.62 | 0.929 |
(6.05 × 1 + 4.29 × 0.91 + 1.62 × 0.929) × $33.4009 = $382.74
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
49495 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $382.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $382.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $382.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $382.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $386.23 | RVU25D |
| 2025-07-01 | Not available in this setting | $386.23 | RVU25C |
| 2025-04-01 | Not available in this setting | $386.23 | RVU25B |
| 2025-01-01 | Not available in this setting | $386.23 | RVU25A |
49495 billing questions
How does 49495 differ from 49496?
49495 is for a reducible hernia in an infant younger than 6 months. Use 49496 when the hernia is incarcerated.
When should 49491 be considered instead?
49491 is the distinct code for a premature infant with a reducible inguinal hernia. Document the patient’s status and the facts supporting code selection.
How is a bilateral repair reported?
Report modifier 50 for a bilateral procedure; CMS pays it at 150%.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,82049465,,Fluoro exam of g/colon tube,A,,0.60,3.23,,0.11,,0.06,3.89,0.77,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82149491,,Rpr hern preemie reduc,A,,12.22,7.39,NA,7.39,,3.26,22.87,22.87,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82249492,,Rpr ing hern premie blocked,A,,15.04,8.22,NA,8.22,,4.02,27.28,27.28,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82349495,,Rpr ing hernia baby reduc,A,,6.05,4.29,NA,4.29,,1.62,11.96,11.96,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82449496,,Rpr ing hernia baby blocked,A,,9.18,6.21,NA,6.21,,2.46,17.85,17.85,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82549500,,Rpr ing hernia init reduce,A,,5.69,5.15,NA,5.15,,1.51,12.35,12.35,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,82649501,,Rpr ing hernia init blocked,A,,9.13,5.99,NA,5.99,,2.44,17.56,17.56,0,090,0.09,0.81,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871