Inguinal hernia repair Cost by Hospital

Inguinal hernia repair is a surgical procedure. Prices are from 1737 US hospitals across 52 states, from their machine-readable files.

$4,241median cash price · 1737 hospitals, 52 statestypically $956–$14,419 depending on the hospital
≈ 7.9× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$7,357
Cash / self-pay
$4,241
Insurer-negotiated
$3,685
Medicare pays
$538
$956$14,419
Median cash $4,241  ·  Medicare $538  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $4,241 — about 7.9× the Medicare rate ($538). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,076).

💡 Asking for the cash price instead of the $7,357 list price could save about $3,116 (42%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
M Health Fairview Southdale Hospital Edina, MN $647 $578 ★ 5/5 197 min 13.1%
Harrison Community Hospital Cadiz, OH $653 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $653 $4,513 113 min 15.0%
Grove Hill Memorial Hospital Grove Hill, AL $661 $3,305 162 min
Avera Marshall Regional Medical Ctr Marshall, MN $670 $1,131 122 min 15.2%
Marshall County Healthcare Center-CAH Britton, SD $670 $1,131 105 min 14.7%
St Joseph's Hospital Health Center Syracuse, NY $684 $144 ★ 2/5 228 min 16.2%
Bellville Medical Center Bellville, TX $684 $144 101 min 15.6%
Bertrand Chaffee Hospital Springville, NY $695 $551 144 min 15.2%
Red Bud Regional Hospital Red Bud, IL $701 $1,224 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $701 $616 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $701 $754 ★ 5/5 128 min
Deaconess Henderson Hospital Henderson, KY $701 $856 ★ 2/5 127 min 15.1%
Hugh Chatham Memorial Hospital Elkin, NC $708 $580 ★ 3/5 171 min 15.1%
Ashtabula County Medical Center Ashtabula, OH $711 $1,366 ★ 3/5 191 min 16.8%
Chan Soon-Shiong Medical Center at Windber Windber, PA $711 $582 ★ 2/5 133 min 15.5%
Northwest Florida Community Hospital Chipley, FL $718 $427 ★ 2/5 14.3%
CHI Health-Mercy Corning Corning, IA $720 $1,357 ★ 3/5 131 min 14.8%
Family Health West Hospital Fruita, CO $727 $5,831 15.2%
Prowers Medical Center Lamar, CO $730 133 min
CHI Health Missouri Valley Missouri Valley, IA $735 $1,357 ★ 4/5 102 min 14.9%
Weeks Medical Center Lancaster, NH $737 $580 106 min 14.6%
Alice Peck Day Memorial Hospital Lebanon, NH $744 $1,057 ★ 4/5 120 min 15.3%
Conway Medical Center Conway, SC $750 $534 ★ 2/5 134 min 15.6%
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $767 $524 ★ 4/5 111 min 14.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Inguinal hernia repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $4,241; Medicare pays $538.

InsurerHospitalsNegotiated median
Medicaid 209
$170
$29 – $504
Medicare 356
$221
$39 – $1,297
Tricare / VA 257
$265
$42 – $3,535
Highmark 104
$269
$42 – $3,961
Blue Cross Blue Shield 970
$383
$48 – $6,996
Univera 14
$386
$62 – $906
Anthem 440
$403
$47 – $7,210
Kaiser Permanente 168
$415
$42 – $7,752
Health Net 175
$415
$41 – $7,322
Centene / Ambetter 592
$454
$39 – $4,959
Geisinger 47
$551
$102 – $3,854
Molina Healthcare 469
$573
$47 – $3,971
Sanford Health Plan 37
$574
$109 – $3,513
MVP Health Care 57
$595
$367 – $4,249
Independent Health 32
$596
$244 – $1,005
HealthPartners 145
$641
$63 – $3,824
AmeriHealth 146
$642
$93 – $9,094
Coventry 84
$980
$113 – $6,903
MultiPlan / PHCS network 340
$983
$55 – $8,079
Priority Health 46
$1,082
$185 – $3,771
UCare 47
$1,124
$208 – $3,626
Security Health Plan 30
$1,157
$208 – $6,494
Amerigroup 119
$1,209
$287 – $3,125
Harvard Pilgrim 36
$1,268
$185 – $6,002
Workers' Comp / No-Fault 72
$1,300
$1,136 – $5,324
Medica 103
$1,471
$370 – $4,232
Humana 740
$1,588
$59 – $7,729
UPMC Health Plan 69
$1,638
$371 – $8,270
Bright Health 40
$2,007
$1,471 – $5,321
UnitedHealthcare 1131
$2,263
$185 – $9,990
Aetna 991
$3,072
$151 – $8,948
SelectHealth 34
$3,497
$370 – $6,202
Devoted Health 111
$3,535
$667 – $4,233
AvMed 41
$4,419
$208 – $11,304
Cigna 766
$5,423
$301 – $14,306
Healthcare Highways 33
$5,475
$4,988 – $6,287
EmblemHealth 45
$5,810
$510 – $28,246
Oscar Health 164
$7,019
$804 – $10,272

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$468
Vermont$966
Maryland$1,262
North Dakota$1,483
South Dakota$1,504
New Hampshire$1,673

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Inguinal hernia repair?

Yes — Medicare generally covers Inguinal hernia repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $538. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $108 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1737 US hospitals across 52 states, the typical (median) cash price is $4,241, versus a chargemaster (list) price around $7,357, a median insurer-negotiated rate of $3,685, a Medicare rate of about $538. Most cash prices fall between $956 and $14,419 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Inguinal hernia repair cost without insurance?
The median cash (self-pay) price across 1737 US hospitals is $4,241. Most hospitals fall between $956 and $14,419. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Inguinal hernia repair?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $538). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Inguinal hernia repair?
Medicare pays about $538. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Inguinal hernia repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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