Cost of a Hernia Repair Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's healthcare market ranks among the most expensive nationally, with specialty services commanding premium rates due to the state's concentration of academic medical centers and high cost of living. Hernia Repair patients typically pay between $368 and $1,435, with a median out-of-pocket cost of $669 based on negotiated insurance rates. Connecticut has 384 active Hernia Repair providers across the state, offering patients multiple options for care and cost comparison.
Average
$824
Median
$669
Lowest
$368
Highest
$1,435
Providers
384
2% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $909 | $1,791 | $6,051 | 388 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $807 | $1,720 | $6,060 | 408 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $70 | $679 | $2,135 | 414 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $366 | $707 | $2,410 | 395 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $416 | $848 | $1,820 | 418 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $361 | $774 | $1,590 | 441 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $527 | $1,116 | $3,201 | 399 |
| Septoplasty Nasal septum repair | 30520 | $432 | $780 | $2,160 | 394 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $194 | $361 | $742 | 393 |
| Mastectomy Partial or simple mastectomy | 19301 | $426 | $836 | $2,642 | 394 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $311 | $618 | $1,957 | 394 |
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 Connecticut
These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FARMINGTON, CT
SHARON, CT
MERIDEN, CT
DERBY, CT
WEST HAVEN, CT
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 Connecticut
Connecticut's healthcare costs run approximately 14% above the national average, driven by the state's high concentration of academic medical centers, elevated cost of living, and proximity to New York City's expensive healthcare market. The state's compact geography means most residents live within an hour of multiple surgical options, creating both competition and premium pricing.
Urban vs. Rural Provider Availability
Connecticut's urban corridor from Bridgeport to Hartford contains the majority of surgical specialists, while rural areas in the eastern and northwestern regions have limited local options. Patients in Litchfield County or eastern Connecticut often travel 45-60 minutes for specialized surgical care, though this distance provides access to competitive pricing. The concentration of providers along I-95 and I-91 creates pricing pressure in urban markets while rural areas may see higher costs due to limited competition.
Facility Type and Overhead Costs
Yale-New Haven Health System and Hartford HealthCare dominate Connecticut's hospital market, with their facilities typically charging premium rates for surgical services. Independent ambulatory surgery centers and physician-owned facilities offer more competitive pricing, particularly for routine procedures like hernia repair. Academic medical centers justify higher costs through teaching programs and research capabilities, but many straightforward cases can be handled effectively at community facilities.
Insurance Market Competition in Connecticut
Anthem Blue Cross Blue Shield holds the largest market share in Connecticut, followed by Cigna and UnitedHealthcare, creating moderate competition that benefits consumers. The state's insurance marketplace offers multiple plan options, though consolidation among hospital systems has strengthened provider negotiating power. Smaller regional insurers like ConnectiCare provide additional competitive pressure, particularly in certain geographic markets.
Physician Supply and Demand in Connecticut
With 384 active Hernia Repair providers serving a population of 3.6 million, Connecticut has strong surgical capacity relative to most states. This adequate supply helps moderate wait times and provides patients with multiple options for care and pricing. The state's proximity to New York and Massachusetts also creates cross-border competition, with some Connecticut residents willing to travel for better pricing or shorter wait times.
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 Connecticut
What is the average cost of a Hernia Repair visit in Connecticut without insurance?
Does Connecticut Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a Hernia Repair in Connecticut?
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 |