Cost of a Hernia Repair Visit
in California
Reviewed by Momentary Medical Group West PC
California's healthcare costs run approximately 18% higher than national averages, reflecting the state's elevated cost of living and concentrated metropolitan markets. For Hernia Repair procedures, patients typically pay between $423 and $1,216, with a median out-of-pocket cost of $975 based on negotiated insurance rates across 2,424 active providers statewide. Patients can browse all qualified Hernia Repair specialists throughout California to compare costs and credentials.
Average
$871
Median
$975
Lowest
$423
Highest
$1,216
Providers
2,424
3% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in California?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Endometrial Ablation Cost of endometrial ablation procedures including NovaSure (hysteroscopic), thermal balloon, and cryoablation, with state-by-state pricing. | 58563 | $245 | $1,904 | $6,978 | 778 |
| Chin Liposuction Cost of chin (submental) liposuction across the US, with state-by-state pricing for both office-based and ambulatory surgery center settings. | 15876 | $304 | $510 | $972 | 39 |
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $75 | $2,228 | $3,286 | 3,142 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $2,021 | $3,012 | 3,930 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $1,210 | $1,401 | 2,015 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $80 | $8,767 | 4,867 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $75 | $1,094 | $1,714 | 6,358 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $933 | $1,375 | 7,138 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,135 | $2,758 | 1,473 |
| Septoplasty Nasal septum repair | 30520 | $80 | $820 | $2,160 | 897 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $80 | $265 | $705 | 1,717 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $961 | $1,972 | 1,786 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $80 | $261 | $1,930 | 2,261 |
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 California
These hospitals in California are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
SANTA CRUZ, CA
IRVINE, CA
FRESNO, CA
MAMMOTH LAKES, CA
TRUCKEE, CA
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 California
California's healthcare costs run 18% above national averages due to high operational expenses, elevated real estate costs, and premium wages for medical professionals. The state's geographic diversity creates distinct cost patterns between expensive coastal metropolitan areas and more affordable inland regions.
Urban vs. Rural Provider Availability
California's population concentration in Los Angeles, San Francisco, and San Diego creates robust surgical networks in these metros while leaving rural counties with limited specialist access. Patients in Central Valley or far Northern California regions often travel significant distances for specialized hernia care. This geographic disparity influences pricing, with rural areas sometimes offering lower rates but fewer advanced surgical options.
Facility Type and Overhead Costs
Hospital-owned outpatient surgical centers typically charge higher facility fees due to extensive overhead costs in California's expensive real estate markets. Independent ambulatory surgery centers often provide more competitive pricing while maintaining quality care standards. Major health systems like UCLA Health, Stanford Health Care, and Cedars-Sinai command premium rates due to their academic affiliations and research capabilities.
Insurance Market Competition in California
California's insurance market features robust competition between Anthem Blue Cross, Kaiser Permanente, and UnitedHealthCare, leading to competitive negotiated rates in major metropolitan areas. Kaiser's integrated delivery model often provides cost advantages through coordinated care and streamlined operations. Smaller regional insurers and Covered California marketplace plans add additional competitive pressure on pricing.
Physician Supply and Demand in California
With 2,424 active Hernia Repair providers statewide, California maintains adequate surgical capacity in metropolitan areas but faces shortages in rural regions. This substantial provider network creates competitive pricing in urban markets while potentially driving up costs in underserved areas. High demand for minimally invasive techniques and robotic surgery capabilities influences pricing at technologically advanced centers.
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 California
What is the average cost of a Hernia Repair visit in California without insurance?
Does California Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in California?
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 California?
How does telemedicine affect the cost of seeing a Hernia Repair in California?
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 |