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Alabama

Cost of a Hernia Repair Visit
in Alabama

Reviewed by Momentary Medical Group West PC

Alabama's healthcare costs run approximately 8% below the national average, making it one of the more affordable states for surgical procedures. Hernia Repair patients typically pay between $355 and $1,110 for their visit, with a median out-of-pocket cost of $598. Alabama has over 2,350 active Hernia Repair providers across the state, giving patients numerous options to browse when seeking care.

Average

$688

Median

$598

Lowest

$356

Highest

$1,111

Providers

2,352

National avg: $843Alabama: $688

18% below national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in Alabama?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$964$1,625$2,9462,353
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,512$2,7672,636
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$418$688$1,1952,384
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$382$619$1,1652,356
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$450$822$1,4502,367
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$672$1,2082,672
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$608$1,138$1,8562,372
Septoplasty

Nasal septum repair

30520$433$687$1,3152,358
Tonsillectomy

Tonsillectomy, primary or secondary

42820$195$351$6152,367
Mastectomy

Partial or simple mastectomy

19301$366$652$1,2512,366
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$566$9102,356

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 49505Repair initial inguinal hernia, age 5 or older). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 49505 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 49505 (Repair initial inguinal hernia, age 5 or older), as mandated by the CMS Price Transparency Rule.

What CPT 49505 covers: the provider's professional fee for inguinal hernia repair. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Alabama

These hospitals in Alabama are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
82% would recommend141 patient surveys
5/5
78% would recommend111 patient surveys
4/5
90% would recommend512 patient surveys
4/5
79% would recommend5,863 patient surveys
4/5
79% would recommend152 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Hernia Repair Visit Costs Vary Across Alabama

Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and competitive provider market. The state's mix of urban medical centers and rural communities creates significant cost variations across different regions.

Urban vs. Rural Provider Availability

Alabama's major metropolitan areas like Birmingham, Mobile, and Huntsville concentrate most specialist surgeons, while rural counties often have limited or no local hernia repair options. Patients in rural Alabama frequently travel to Birmingham or other cities for surgical care, adding travel costs but often accessing more competitive pricing. The state's geography creates access challenges that can drive up total treatment costs for rural residents.

Facility Type and Overhead Costs

Hospital-based outpatient surgical centers in Alabama typically charge higher facility fees than independent ambulatory surgery centers. Major health systems like UAB Medicine and Baptist Health dominate Alabama's hospital market, with their facilities often carrying premium pricing. Independent surgical centers, more common in suburban areas, frequently offer more competitive rates for routine hernia repairs.

Insurance Market Competition in Alabama

Blue Cross Blue Shield Alabama's dominant market position means less competitive pressure on negotiated rates compared to states with more insurer competition. Limited insurer options on Alabama's health insurance marketplace reduce competitive pricing dynamics that might otherwise drive down healthcare costs. This concentrated market structure can result in less aggressive rate negotiations between insurers and providers.

Physician Supply and Demand in Alabama

With over 2,350 active Hernia Repair providers, Alabama maintains a relatively adequate supply of general surgeons capable of hernia repairs. This provider density helps keep wait times reasonable and prevents extreme pricing due to supply shortages. The concentration of surgeons in major metropolitan areas means rural patients may face longer wait times but can often access competitive pricing by traveling to urban centers.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hernia Repair Costs in Alabama

What is the average cost of a Hernia Repair visit in Alabama without insurance?

Uninsured patients in Alabama typically pay between $355 and $1,110 for Hernia Repair visits, with a median cost of $598. These rates reflect negotiated prices from insurance transparency data and may be higher for self-pay patients. Many Alabama providers offer cash-pay discounts that can reduce these costs significantly, sometimes by 30-50% for immediate payment.

Does Alabama Medicaid cover Hernia Repair visits?

Alabama Medicaid covers medically necessary Hernia Repair procedures for eligible recipients, though the state has not expanded Medicaid coverage. Eligibility is limited to specific categories including children, pregnant women, elderly, and disabled individuals meeting strict income requirements. Most hernia repairs are covered when deemed medically necessary, with minimal patient cost-sharing required.

How do I find an affordable Hernia Repair near me in Alabama?

Compare prices across different facility types, as independent surgical centers often cost less than hospital-based facilities. Ask about self-pay discounts and payment plans, which are commonly offered by Alabama providers. Community health centers and federally qualified health centers throughout Alabama may offer sliding-scale fees based on income for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial hernia consultations typically cost more than follow-up visits, though specific pricing varies by provider and complexity. The consultation visit (CPT 49505) shows a median cost of $598 in Alabama, while follow-up visits are generally less expensive. New patient evaluations involve more comprehensive assessment time, while follow-up visits focus on specific treatment progress or post-operative care.

Can I use an HSA or FSA to pay for a Hernia Repair visit in Alabama?

Yes, Hernia Repair consultations and procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for surgeon consultations, diagnostic tests, surgical procedures, and related medical expenses. Keep all receipts and documentation for tax purposes, as these accounts may require substantiation of medical expenses.

How does telemedicine affect the cost of seeing a Hernia Repair in Alabama?

Telemedicine consultations for hernia evaluation are typically less expensive than in-person visits, though physical examination is usually necessary for diagnosis. Alabama expanded telehealth coverage during the pandemic, with many insurers now covering virtual consultations at similar rates to office visits. Initial hernia evaluations often require hands-on examination, but follow-up visits and post-operative care may be suitable for telehealth, reducing overall treatment costs.

Click a state to compare costs

Average Visit Cost

$337
$1,784

Office visit (CPT 49505)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,784
2Iowa
Range: $457$2,449
$1,346
3Alaska
Range: $440$2,338
$1,154
4Massachusetts
Range: $397$2,168
$1,133
5Montana
Range: $378$2,328
$1,120
6Georgia
Range: $421$1,969
$1,097
7South Dakota
Range: $439$2,034
$1,081
8Wyoming
Range: $628$1,642
$1,050
9New Hampshire
Range: $504$1,521
$1,002
10Nebraska
Range: $637$1,214
$994
11Washington
Range: $592$1,594
$984
12Minnesota
Range: $344$1,787
$970
13Rhode Island
Range: $440$1,521
$940
14North Dakota
Range: $437$1,537
$894
15Maine
Range: $630$1,022
$883
16Utah
Range: $374$1,150
$883
17California
Range: $423$1,216
$871
18Oregon
Range: $440$1,399
$866
19North Carolina
Range: $426$1,453
$859
20District of Columbia
Range: $381$1,221
$834
21Connecticut
Range: $368$1,435
$824
22New Mexico
Range: $465$1,226
$821
23West Virginia
Range: $381$1,378
$806
24Missouri
Range: $493$1,027
$804
25Colorado
Range: $441$1,242
$798
26Michigan
Range: $440$1,216
$797
27Delaware
Range: $330$1,435
$789
28Illinois
Range: $90$1,569
$789
29Pennsylvania
Range: $333$1,448
$781
30Idaho
Range: $438$1,197
$775
31Hawaii
Range: $426$1,149
$769
32New York
Range: $364$1,435
$768
33Kentucky
Range: $396$1,220
$763
34Vermont
Range: $391$1,271
$753
35Arkansas
Range: $461$1,043
$746
36New Jersey
Range: $309$1,435
$740
37Indiana
Range: $90$1,448
$722
38Mississippi
Range: $409$1,251
$718
39Tennessee
Range: $440$1,016
$705
40South Carolina
Range: $391$1,170
$705
41Texas
Range: $407$1,086
$699
42Alabama
Range: $356$1,111
$688
43Louisiana
Range: $383$1,052
$681
44Kansas
Range: $493$872
$667
45Virginia
Range: $358$1,079
$664
46Maryland
Range: $381$1,079
$653
47Oklahoma
Range: $429$991
$647
48Ohio
Range: $328$1,039
$638
49Nevada
Range: $423$859
$596
50Arizona
Range: $432$882
$585
51Florida
Range: $35$920
$337
Inguinal Hernia Repair in Other States