Inguinal hernia repair Cost by Hospital

Inguinal hernia repair is a surgical procedure. Prices are from 1746 US hospitals across 52 states, from their machine-readable files.

$4,176median cash price · 1746 hospitals, 52 statestypically $958–$14,419 depending on the hospital
≈ 7.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$7,490
Cash / self-pay
$4,176
Insurer-negotiated
$3,684
Medicare pays
$538
$958$14,419
Median cash $4,176  ·  Medicare $538  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $4,176 — about 7.8× 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 $7,490 list price could save about $3,314 (44%).

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
Pratt Regional Medical Center Pratt, KS $636 $2,118 ★ 4/5 100 min —
M Health Fairview Southdale Hospital Edina, MN $647 $578 ★ 5/5 204 min —
Harrison Community Hospital Cadiz, OH $653 — — 82 min —
Barnesville Hospital Association, Inc Barnesville, OH $653 $4,513 — 115 min —
Grove Hill Memorial Hospital Grove Hill, AL $661 $3,305 — 166 min —
Avera Marshall Regional Medical Ctr Marshall, MN $670 $1,131 — 126 min —
Marshall County Healthcare Center-CAH Britton, SD $670 $1,131 — 105 min —
Ashtabula County Medical Center Ashtabula, OH $672 $722 ★ 3/5 194 min —
St Joseph's Hospital Health Center Syracuse, NY $684 $144 ★ 2/5 226 min —
Bellville Medical Center Bellville, TX $684 $144 — 104 min —
Bertrand Chaffee Hospital Springville, NY $695 $551 — 145 min —
Red Bud Regional Hospital Red Bud, IL $701 $1,224 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $701 $616 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $701 $754 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $701 $856 ★ 2/5 127 min —
Hugh Chatham Memorial Hospital Elkin, NC $708 $580 ★ 3/5 168 min —
Chan Soon-Shiong Medical Center at Windber Windber, PA $711 $582 ★ 2/5 141 min —
Northwest Florida Community Hospital Chipley, FL $718 $427 ★ 2/5 — —
CHI Health-Mercy Corning Corning, IA $720 $1,357 ★ 3/5 124 min —
Family Health West Hospital Fruita, CO $727 $5,831 — 48 min —
Prowers Medical Center Lamar, CO $730 — — 118 min —
CHI Health Missouri Valley Missouri Valley, IA $735 $1,357 ★ 4/5 105 min —
Weeks Medical Center Lancaster, NH $737 $580 — 107 min —
Alice Peck Day Memorial Hospital Lebanon, NH $744 $1,057 ★ 4/5 118 min —
Conway Medical Center Conway, SC $750 $534 ★ 2/5 134 min —

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 October 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: $4,176; Medicare pays $538.

InsurerHospitalsNegotiated median
Medicaid 211
$170
$29 – $504
Medicare 360
$221
$39 – $1,297
Tricare / VA 259
$265
$42 – $3,535
Highmark 110
$269
$42 – $3,961
Blue Cross Blue Shield 968
$383
$48 – $7,027
Univera 14
$386
$62 – $906
Anthem 456
$415
$47 – $7,120
Health Net 177
$415
$41 – $7,322
Kaiser Permanente 168
$417
$42 – $7,752
Centene / Ambetter 605
$466
$39 – $4,959
Geisinger 47
$551
$102 – $3,854
Molina Healthcare 470
$572
$47 – $3,950
Sanford Health Plan 37
$574
$109 – $3,513
MVP Health Care 57
$595
$367 – $4,249
Independent Health 32
$596
$244 – $1,005
AmeriHealth 148
$642
$93 – $9,094
HealthPartners 145
$645
$63 – $3,818
MultiPlan / PHCS network 352
$1,017
$56 – $8,161
Coventry 85
$1,040
$113 – $6,751
Priority Health 45
$1,082
$185 – $3,771
UCare 47
$1,124
$208 – $3,626
Security Health Plan 30
$1,157
$208 – $6,494
Amerigroup 120
$1,209
$287 – $3,245
Harvard Pilgrim 36
$1,245
$185 – $6,002
Workers' Comp / No-Fault 72
$1,300
$1,136 – $5,324
Medica 100
$1,471
$370 – $4,230
UPMC Health Plan 72
$1,513
$371 – $8,268
Humana 748
$1,588
$59 – $7,729
Bright Health 40
$2,007
$1,471 – $5,321
UnitedHealthcare 1146
$2,343
$185 – $9,953
Aetna 1009
$3,044
$152 – $8,948
SelectHealth 34
$3,497
$370 – $6,202
Devoted Health 113
$3,543
$776 – $4,233
AvMed 41
$4,419
$208 – $11,304
EmblemHealth 57
$4,536
$510 – $28,246
Cigna 787
$5,423
$300 – $14,306
Healthcare Highways 33
$5,475
$4,988 – $6,287
Oscar Health 176
$7,019
$715 – $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$672
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 1746 US hospitals across 52 states, the typical (median) cash price is $4,176, versus a chargemaster (list) price around $7,490, a median insurer-negotiated rate of $3,684, a Medicare rate of about $538. Most cash prices fall between $958 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 1746 US hospitals is $4,176. Most hospitals fall between $958 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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