Cost of a Hernia Repair Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's competitive ambulatory surgery center market, particularly around Denver, offers patients significant options for Hernia Repair procedures. With 1,269 active providers throughout the state, patients can access Hernia Repair services with costs ranging from $440.81 to $1,242.42 for the primary procedure, based on negotiated insurance rates. Browse all Hernia Repair providers across Colorado to compare costs and find the right specialist for your needs.
Average
$798
Median
$712
Lowest
$441
Highest
$1,242
Providers
1,269
5% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,049 | $3,475 | 1,282 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $940 | $1,978 | $3,328 | 1,345 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $808 | $2,114 | 1,468 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $805 | $1,326 | 1,321 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $940 | $1,635 | 1,256 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $789 | $1,421 | 1,461 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,202 | $2,204 | 1,315 |
| Septoplasty Nasal septum repair | 30520 | $526 | $855 | $1,567 | 1,308 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $385 | $694 | 1,441 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $877 | $1,561 | 1,292 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $629 | $1,110 | 1,293 |
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 Colorado
These hospitals in Colorado are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
DURANGO, CO
FRISCO, CO
LAKEWOOD, CO
GRAND JUNCTION, CO
CORTEZ, CO
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 Colorado
Colorado's healthcare costs run approximately 7% above the national average, driven by the state's high cost of living and geographic challenges in serving both urban Front Range communities and remote mountain towns. The competitive Denver metropolitan market helps moderate costs compared to rural areas with limited provider access.
Urban vs. Rural Provider Availability
The Front Range corridor from Fort Collins to Colorado Springs concentrates most hernia repair specialists, while mountain communities and eastern plains often require travel to access surgical care. This geographic disparity creates significant cost and access differences, with rural patients sometimes paying travel costs on top of procedure fees.
Facility Type and Overhead Costs
Colorado's robust ambulatory surgery center network, particularly around Denver, offers competitive pricing compared to hospital-based outpatient departments. Major health systems like Presbyterian/St. Joseph, Porter Adventist, and National Jewish Health operate higher-cost hospital facilities, while independent surgery centers often provide more affordable options.
Insurance Market Competition in Colorado
The presence of UnitedHealthcare, Anthem, and Kaiser Permanente creates healthy competition in most Colorado markets, leading to competitive negotiated rates for surgical procedures. However, some mountain resort communities have limited insurer participation, potentially resulting in higher out-of-network costs for residents and seasonal workers.
Physician Supply and Demand in Colorado
With 1,269 providers offering hernia repair services statewide, Colorado maintains adequate surgeon availability in metropolitan areas while facing shortages in rural regions. This supply distribution affects both pricing and wait times, with urban areas offering more competitive rates and faster scheduling than underserved rural communities.
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 Colorado
What is the average cost of a Hernia Repair visit in Colorado without insurance?
Does Colorado Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Colorado?
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 Colorado?
How does telemedicine affect the cost of seeing a Hernia Repair in Colorado?
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 |