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Arkansas

Cost of a Hernia Repair Visit
in Arkansas

Reviewed by Momentary Medical Group West PC

Arkansas's concentration of healthcare services in Little Rock and Fayetteville creates distinct cost variations for specialized surgical procedures across the state's 75 counties. Hernia Repair patients typically pay between $461 and $1,043, with a median out-of-pocket cost of $734 based on negotiated insurance rates. The state maintains 96 active Hernia Repair providers serving both urban centers and rural communities, allowing patients to browse all providers in Arkansas for the most affordable options.

Average

$746

Median

$734

Lowest

$461

Highest

$1,043

Providers

96

National avg: $843Arkansas: $746

12% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,138$1,894$2,60399
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,839$2,535109
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$746$1,042118
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$479$752$1,03499
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$929$1,328117
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$840$1,236140
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,180$1,600113
Septoplasty

Nasal septum repair

30520$433$887$1,074102
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$561111
Mastectomy

Partial or simple mastectomy

19301$85$833$1,107109
Carpal Tunnel Surgery

Open carpal tunnel release

64721$294$596$790105

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 Arkansas

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

5/5
85% would recommend371 patient surveys
5/5
76% would recommend113 patient surveys
4/5
91% would recommend939 patient surveys
4/5
90% would recommend364 patient surveys
ARKANSAS SURGICAL HOSPITAL

NO LITTLE ROCK, AR

4/5
89% would recommend540 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 Arkansas

Healthcare costs in Arkansas run approximately 12% below national averages, reflecting the state's lower cost of living and reduced physician overhead expenses compared to coastal regions. This cost advantage is most pronounced in rural areas, though it comes with trade-offs in terms of provider availability and access to subspecialty care.

Urban vs. Rural Provider Availability

The majority of Arkansas's surgical specialists practice in the Little Rock metropolitan area and Northwest Arkansas corridor, creating significant travel requirements for patients in the Delta region and southern counties. Rural patients often face higher total costs when factoring in travel expenses, though base procedure fees may be lower at smaller regional hospitals competing for patient volume.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers at major Arkansas health systems like Baptist Health and CHI St. Vincent typically charge 30-50% more than independent ambulatory surgical centers. Academic medical centers like UAMS may carry teaching hospital premiums, while smaller community hospitals often offer the most competitive pricing to maintain patient volumes in competitive markets.

Insurance Market Competition in Arkansas

Blue Cross Blue Shield of Arkansas's market dominance means most providers accept their coverage, but it also reduces competitive pressure on negotiated rates compared to states with more insurer competition. The limited number of health insurance options on the individual marketplace creates less pricing transparency, making direct cost comparison between providers even more valuable for patients.

Physician Supply and Demand in Arkansas

With 96 active Hernia Repair providers serving a population of 3 million, Arkansas maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This geographic maldistribution allows urban surgeons to maintain higher pricing while rural providers often compete more aggressively on cost to attract patients from larger service areas.

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 Arkansas

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

Uninsured patients in Arkansas typically pay between $461 and $1,043 for hernia repair consultation and evaluation, with a median cost of $734 based on negotiated insurance rates. Many providers offer self-pay discounts of 20-40% for upfront payment, making the actual out-of-pocket cost potentially lower. The total cost will depend on whether additional imaging studies or diagnostic tests are needed during your visit.

Does Arkansas Medicaid cover Hernia Repair visits?

Arkansas Medicaid covers medically necessary hernia repair consultations and procedures for eligible recipients, though the state's decision not to expand Medicaid limits coverage to very low-income individuals and specific qualifying categories. Covered services include the initial surgical consultation, necessary imaging studies, and the repair procedure itself when deemed medically necessary. Prior authorization may be required for certain diagnostic tests or surgical approaches.

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

Compare costs between independent surgical centers and hospital-based practices, as independent facilities often charge 30-50% less for the same services. Ask about self-pay discounts if you're uninsured, as many Arkansas providers offer significant reductions for upfront payment. Community health centers in rural areas may provide lower-cost options, though you may need to travel to larger cities for specialized surgical expertise.

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

Initial hernia repair consultations typically cost $461-$1,043 based on the complexity of evaluation and diagnostic testing required. Follow-up visits after surgery are generally billed at lower rates, usually 30-50% less than the initial consultation, as they involve routine wound checks and recovery monitoring rather than comprehensive diagnostic evaluation. Most insurance plans cover follow-up visits as part of the surgical global period.

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

Health Savings Account and Flexible Spending Account funds can be used to pay for hernia repair consultations, diagnostic imaging, and surgical procedures as they qualify as eligible medical expenses. This includes copays, deductibles, and any out-of-network costs associated with your care. Keep receipts for all related expenses, including travel costs if you need to see a specialist outside your local area.

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

While physical examination is essential for hernia diagnosis, some surgeons offer telehealth consultations for initial symptom discussion and post-operative follow-ups at reduced rates compared to in-person visits. Arkansas expanded telehealth coverage during the pandemic, though most insurers still require in-person evaluation for surgical clearance. Telemedicine follow-up visits can save travel costs for rural patients while maintaining continuity of care with their surgeon.

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