Hernia Repair

Surgical repair of a hernia, most commonly inguinal (groin) hernias. May be performed as open or laparoscopic surgery, often using synthetic mesh reinforcement.

Price Comparison

Average Cost (Uninsured)$15,000

Average Cost (Insured)$7,500

Fair Price Range$4,000 – $11,000

Medicare Reimbursement$4,200

Detailed Breakdown

Average Cost (Insured)

$7,500

Average Cost (Uninsured)

$15,000

Medicare Reimbursement Rate

$4,200

Fair Price Range

$4,000 – $11,000

Common CPT Codes

49505495074965049651

Negotiation Tips

Laparoscopic hernia repair is coded differently from open repair -- verify the correct surgical approach was billed
Mesh implant charges can add $500-3,000 to the bill -- ask for the specific implant cost and compare to wholesale prices
If the procedure was performed at a surgery center rather than a hospital, the total cost should be 40-60% lower
Medicare pays about $4,200 for an inguinal hernia repair -- use this as your negotiation baseline

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