Cost of a Hernia Repair Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona's extensive Ambulatory Surgery Center network has created one of the most competitive hernia repair markets in the Southwest, with over 4,000 active providers across the state. Patients typically pay between $432 and $882 for inguinal Hernia Repair procedures, with a median out-of-pocket cost of $440 based on negotiated insurance rates. The state's robust provider network spans from Phoenix's major medical centers to rural clinics serving Native American communities, giving patients numerous options to browse all providers in Arizona.
Average
$585
Median
$440
Lowest
$432
Highest
$882
Providers
4,188
31% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,097 | $1,136 | $2,276 | 4,502 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,097 | $1,137 | $2,279 | 5,350 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $448 | $496 | $898 | 5,028 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $452 | $907 | 4,418 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $557 | $557 | $1,115 | 5,012 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $90 | $507 | $1,016 | 6,248 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $749 | $752 | $1,507 | 4,305 |
| Septoplasty Nasal septum repair | 30520 | $498 | $535 | $1,072 | 4,221 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $240 | $240 | $480 | 4,297 |
| Mastectomy Partial or simple mastectomy | 19301 | $525 | $553 | $1,108 | 4,299 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $352 | $364 | $729 | 4,203 |
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 49505 — Repair 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 Arizona
These hospitals in Arizona are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
PHOENIX, AZ
MESA, AZ
GOODYEAR, AZ
SCOTTSDALE, AZ
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 Arizona
Arizona's healthcare costs run approximately 5% above national averages, driven by rapid population growth that has strained specialist availability in both urban and rural markets. The state's unique geography creates distinct cost zones, from competitive Phoenix and Tucson markets to underserved rural counties where patients may travel over 100 miles for specialized surgical care.
Urban vs. Rural Provider Availability
The Phoenix-Scottsdale metropolitan area concentrates nearly 60% of Arizona's hernia specialists, creating competitive pricing and shorter wait times for urban residents. Rural counties like Apache, Greenlee, and La Paz have limited or no local surgical options, forcing patients to travel to regional centers and often pay higher facility fees. This geographic disparity contributes to cost variations of $200-300 between urban and rural treatment locations.
Facility Type and Overhead Costs
Arizona's mature ASC market includes over 200 surgery centers that typically charge 30-50% less than hospital-based outpatient departments for hernia repairs. Major health systems like Banner Health, Dignity Health, and HonorHealth operate extensive networks of both hospital and ASC facilities, giving patients cost options within the same health system. Independent surgical centers often provide the lowest-cost options but may have more limited insurance network participation.
Insurance Market Competition in Arizona
UHC, BCBS AZ, and Aetna compete actively in Arizona's individual and employer markets, resulting in negotiated rates that vary significantly between insurers for identical procedures. The state's decision not to implement an all-payer claims database limits price transparency, though competition among the major insurers has generally kept rate increases below national trends. Rural areas may have fewer insurer options, reducing competition and potentially increasing costs.
Physician Supply and Demand in Arizona
With over 4,000 active Hernia Repair providers, Arizona maintains adequate specialist density in urban areas but faces shortages in rural regions serving Native American reservations and border communities. This supply imbalance creates wait times of 2-4 weeks in Phoenix versus 6-8 weeks in rural areas, with rural providers often commanding premium rates due to limited competition. The state's growing retiree population continues to increase demand for surgical services, particularly in popular retirement destinations like Sedona and Flagstaff.
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.
Frequently Asked Questions — Hernia Repair Costs in Arizona
What is the average cost of a Hernia Repair visit in Arizona without insurance?
Does Arizona Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Arizona?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hernia Repair visit in Arizona?
How does telemedicine affect the cost of seeing a Hernia Repair in Arizona?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 49505)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,031 | $1,784 |
| 2 | Iowa Range: $457 – $2,449 | $1,346 |
| 3 | Alaska Range: $440 – $2,338 | $1,154 |
| 4 | Massachusetts Range: $397 – $2,168 | $1,133 |
| 5 | Montana Range: $378 – $2,328 | $1,120 |
| 6 | Georgia Range: $421 – $1,969 | $1,097 |
| 7 | South Dakota Range: $439 – $2,034 | $1,081 |
| 8 | Wyoming Range: $628 – $1,642 | $1,050 |
| 9 | New Hampshire Range: $504 – $1,521 | $1,002 |
| 10 | Nebraska Range: $637 – $1,214 | $994 |
| 11 | Washington Range: $592 – $1,594 | $984 |
| 12 | Minnesota Range: $344 – $1,787 | $970 |
| 13 | Rhode Island Range: $440 – $1,521 | $940 |
| 14 | North Dakota Range: $437 – $1,537 | $894 |
| 15 | Maine Range: $630 – $1,022 | $883 |
| 16 | Utah Range: $374 – $1,150 | $883 |
| 17 | California Range: $423 – $1,216 | $871 |
| 18 | Oregon Range: $440 – $1,399 | $866 |
| 19 | North Carolina Range: $426 – $1,453 | $859 |
| 20 | District of Columbia Range: $381 – $1,221 | $834 |
| 21 | Connecticut Range: $368 – $1,435 | $824 |
| 22 | New Mexico Range: $465 – $1,226 | $821 |
| 23 | West Virginia Range: $381 – $1,378 | $806 |
| 24 | Missouri Range: $493 – $1,027 | $804 |
| 25 | Colorado Range: $441 – $1,242 | $798 |
| 26 | Michigan Range: $440 – $1,216 | $797 |
| 27 | Delaware Range: $330 – $1,435 | $789 |
| 28 | Illinois Range: $90 – $1,569 | $789 |
| 29 | Pennsylvania Range: $333 – $1,448 | $781 |
| 30 | Idaho Range: $438 – $1,197 | $775 |
| 31 | Hawaii Range: $426 – $1,149 | $769 |
| 32 | New York Range: $364 – $1,435 | $768 |
| 33 | Kentucky Range: $396 – $1,220 | $763 |
| 34 | Vermont Range: $391 – $1,271 | $753 |
| 35 | Arkansas Range: $461 – $1,043 | $746 |
| 36 | New Jersey Range: $309 – $1,435 | $740 |
| 37 | Indiana Range: $90 – $1,448 | $722 |
| 38 | Mississippi Range: $409 – $1,251 | $718 |
| 39 | Tennessee Range: $440 – $1,016 | $705 |
| 40 | South Carolina Range: $391 – $1,170 | $705 |
| 41 | Texas Range: $407 – $1,086 | $699 |
| 42 | Alabama Range: $356 – $1,111 | $688 |
| 43 | Louisiana Range: $383 – $1,052 | $681 |
| 44 | Kansas Range: $493 – $872 | $667 |
| 45 | Virginia Range: $358 – $1,079 | $664 |
| 46 | Maryland Range: $381 – $1,079 | $653 |
| 47 | Oklahoma Range: $429 – $991 | $647 |
| 48 | Ohio Range: $328 – $1,039 | $638 |
| 49 | Nevada Range: $423 – $859 | $596 |
| 50 | Arizona Range: $432 – $882 | $585 |
| 51 | Florida Range: $35 – $920 | $337 |