Billing code 49596: Abdominal hernia repairMedicare rate & RVUs in Minooka, Illinois
Compare Medicare physician payments in Minooka, IL. Census city boundaries cover Grundy County, Kendall County, Will County. Use the service ZIP to confirm the payment locality for a specific address.
CMS doesn’t publish an office rate for 49596 in Minooka, Illinois.
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
Where 49596 pays more and less in Minooka, Illinois
Minooka, 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.
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Illinois | Unavailable | $1,010.66 |
| Suburban Chicago | Unavailable | $1,067.39 |
How payment areas work in Minooka
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.
- Rest of Illinois · Grundy County, Kendall County
- Suburban Chicago · Will County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 49596 rate is calculated
Each of 49596’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 · 49596
RVUs × geographic indexes × conversion factor
Work18.20
18.20 RVUs× 1.000 GPCI
Practice expense5.11
5.11 RVUs× 1.000 GPCI
Malpractice4.73
4.73 RVUs× 1.000 GPCI
Adjusted RVUs
28.0400
Conversion factor
$33.4009
Medicare rate
$936.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 49596
The CMS indicators that decide how 49596 is paid alongside other services.
CMS payment indicators · 49596
Abdominal hernia repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
49596 without 51 · national facility
$936.56
Abdominal hernia repair
49596-51 · Second procedure: 50%
$468.28
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
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
Put 49596 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →