Delaware

Cost of a Hernia Repair Visit
in Delaware

Name: Inguinal Hernia Repair Cost in Delaware (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Delaware's concentrated healthcare market, dominated by just a few major health systems serving the entire state, creates unique pricing dynamics for specialty procedures. Hernia Repair patients typically pay between $329.98 and $1435.21, with a median out-of-pocket cost of $602.38 based on negotiated insurance rates from 79 active providers across the First State. Delaware residents can browse all qualified providers through transparent cost comparison tools.

Average

$789

Median

$602

Lowest

$330

Highest

$1,435

Providers

National avg: $843Delaware: $789

6% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

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

Procedure	CPT	Low	Median	High	Providers
Knee Replacement Total knee replacement (arthroplasty)	27447	$1,005	$1,687	$6,051	78
Hip Replacement Total hip replacement (arthroplasty)	27130	$80	$1,574	$6,060	91
Cataract Surgery Cataract extraction with intraocular lens insertion	66984	$343	$691	$2,135	83
Knee Arthroscopy Arthroscopy of the knee with meniscectomy	29881	$412	$640	$2,410	80
Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy	47562	$416	$773	$2,073	81
Appendectomy (Laparoscopic) Laparoscopic appendectomy	44970	$80	$622	$1,893	99
Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy	58571	$85	$1,038	$3,201	83
Septoplasty Nasal septum repair	30520	$449	$726	$2,160	78
Tonsillectomy Tonsillectomy, primary or secondary	42820	$154	$319	$698	82
Mastectomy Partial or simple mastectomy	19301	$95	$705	$2,642	84
Carpal Tunnel Surgery Open carpal tunnel release	64721	$354	$612	$1,957	77

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.

Full data methodology and glossary

Why Hernia Repair Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's position in the high-cost Northeast corridor despite its small size. The concentration of major employers and relatively affluent population in New Castle County creates pricing pressures that affect the entire state's healthcare market.

Urban vs. Rural Provider Availability

Delaware's unique geography concentrates most specialists in the Wilmington-Newark corridor, requiring patients in southern Delaware to travel longer distances or accept limited local options. This north-south divide creates cost disparities, with downstate patients sometimes facing higher travel costs but lower facility fees at the few available rural practices.

Facility Type and Overhead Costs

ChristianaCare's dominance in northern Delaware and Bayhealth's presence in central Delaware mean many Hernia Repair providers practice within large health system environments with higher overhead costs. Independent surgical practices, while less common, typically offer more competitive pricing but may have limited locations and scheduling flexibility.

Insurance Market Competition in Delaware

The limited number of major insurers (Highmark, Aetna, UHC) reduces competitive pressure on negotiated rates, contributing to higher specialist costs compared to states with more insurer competition. This concentrated market structure gives health systems more leverage in contract negotiations, potentially leading to higher patient out-of-pocket costs.

Physician Supply and Demand in Delaware

With 79 active Hernia Repair providers serving Delaware's population of under one million, the state maintains adequate specialist availability compared to national ratios. However, the concentration of providers in New Castle County creates access challenges for residents of Kent and Sussex counties, potentially affecting both wait times and pricing in different regions.

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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 Delaware

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

Uninsured patients in Delaware typically pay between $329.98 and $1435.21 for hernia repair consultations, with a median cost of $602.38 based on negotiated insurance rates. Many providers offer cash-pay discounts that can reduce these amounts by 30-50%, making the actual self-pay cost potentially lower than the median. Patients should always ask about payment plans and uninsured discounts when scheduling.

Does Delaware Medicaid cover Hernia Repair visits?

Yes, Delaware Medicaid covers medically necessary hernia repair consultations as the state expanded Medicaid eligibility under the Affordable Care Act. Coverage includes both initial consultations and follow-up visits, though patients may need to use providers within the Medicaid network. Prior authorization may be required for certain procedures, but diagnostic consultations are typically covered with minimal or no patient cost-sharing.

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

Compare costs across Delaware's 79 active providers using transparent pricing tools, as rates vary significantly between hospital-based and independent practices. Ask about self-pay discounts if uninsured, and consider community health centers or Federally Qualified Health Centers that offer sliding scale fees. Some patients find lower costs by choosing providers in Kent or Sussex counties rather than New Castle County facilities.

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

Initial hernia repair consultations typically cost $602.38 (median) as they involve comprehensive evaluation, medical history review, and treatment planning. Follow-up visits generally cost less, usually ranging from $150-300 depending on complexity and whether imaging or additional procedures are needed. The specific cost difference depends on your provider and insurance plan's specialist visit structure.

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

Yes, both HSA and FSA funds can be used for hernia repair consultations as they qualify as eligible medical expenses under IRS guidelines. This includes copays, deductibles, and any out-of-pocket costs for medically necessary specialist visits. Keep receipts and documentation of the medical nature of the visit for tax purposes and account administration.

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

Telemedicine consultations for hernia evaluation typically cost 20-40% less than in-person visits, though physical examination limitations may require follow-up office visits. Delaware providers increasingly offer telehealth options for initial consultations, follow-up care, and second opinions. Insurance coverage for telehealth visits varies by plan, but most Delaware insurers now cover virtual specialty consultations at similar rates to office visits.

Click a state to compare costs

Average Visit Cost

$337

$1,784

Office visit (CPT 49505)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $4,031	$1,784	$73	$4,031	2,412
2	Iowa(IA) Range: $457 – $2,449	$1,346	$457	$2,449	317
3	Alaska(AK) Range: $440 – $2,338	$1,154	$440	$2,338	37
4	Massachusetts(MA) Range: $397 – $2,168	$1,133	$397	$2,168	1,003
5	Montana(MT) Range: $378 – $2,328	$1,120	$378	$2,328	32
6	Georgia(GA) Range: $421 – $1,969	$1,097	$421	$1,969	2,843
7	South Dakota(SD) Range: $439 – $2,034	$1,081	$439	$2,034	50
8	Wyoming(WY) Range: $628 – $1,642	$1,050	$628	$1,642	172
9	New Hampshire(NH) Range: $504 – $1,521	$1,002	$504	$1,521	3,656
10	Nebraska(NE) Range: $637 – $1,214	$994	$637	$1,214	2,174
11	Washington(WA) Range: $592 – $1,594	$984	$592	$1,594	2,162
12	Minnesota(MN) Range: $344 – $1,787	$970	$344	$1,787	410
13	Rhode Island(RI) Range: $440 – $1,521	$940	$440	$1,521	57
14	North Dakota(ND) Range: $437 – $1,537	$894	$437	$1,537	39
15	Maine(ME) Range: $630 – $1,022	$883	$630	$1,022	1,521
16	Utah(UT) Range: $374 – $1,150	$883	$374	$1,150	315
17	California(CA) Range: $423 – $1,216	$871	$423	$1,216	2,424
18	Oregon(OR) Range: $440 – $1,399	$866	$440	$1,399	156
19	North Carolina(NC) Range: $426 – $1,453	$859	$426	$1,453	2,159
20	District of Columbia(DC) Range: $381 – $1,221	$834	$381	$1,221	308
21	Connecticut(CT) Range: $368 – $1,435	$824	$368	$1,435	384
22	New Mexico(NM) Range: $465 – $1,226	$821	$465	$1,226	1,171
23	West Virginia(WV) Range: $381 – $1,378	$806	$381	$1,378	86
24	Missouri(MO) Range: $493 – $1,027	$804	$493	$1,027	5,182
25	Colorado(CO) Range: $441 – $1,242	$798	$441	$1,242	1,269
26	Michigan(MI) Range: $440 – $1,216	$797	$440	$1,216	1,658
27	Delaware(DE) Range: $330 – $1,435	$789	$330	$1,435	79
28	Illinois(IL) Range: $90 – $1,569	$789	$90	$1,569	4,730
29	Pennsylvania(PA) Range: $333 – $1,448	$781	$333	$1,448	914
30	Idaho(ID) Range: $438 – $1,197	$775	$438	$1,197	76
31	Hawaii(HI) Range: $426 – $1,149	$769	$426	$1,149	42
32	New York(NY) Range: $364 – $1,435	$768	$364	$1,435	30,842
33	Kentucky(KY) Range: $396 – $1,220	$763	$396	$1,220	146
34	Vermont(VT) Range: $391 – $1,271	$753	$391	$1,271	325
35	Arkansas(AR) Range: $461 – $1,043	$746	$461	$1,043	96
36	New Jersey(NJ) Range: $309 – $1,435	$740	$309	$1,435	6,484
37	Indiana(IN) Range: $90 – $1,448	$722	$90	$1,448	250
38	Mississippi(MS) Range: $409 – $1,251	$718	$409	$1,251	1,278
39	Tennessee(TN) Range: $440 – $1,016	$705	$440	$1,016	2,254
40	South Carolina(SC) Range: $391 – $1,170	$705	$391	$1,170	1,025
41	Texas(TX) Range: $407 – $1,086	$699	$407	$1,086	5,176
42	Alabama(AL) Range: $356 – $1,111	$688	$356	$1,111	2,352
43	Louisiana(LA) Range: $383 – $1,052	$681	$383	$1,052	861
44	Kansas(KS) Range: $493 – $872	$667	$493	$872	1,699
45	Virginia(VA) Range: $358 – $1,079	$664	$358	$1,079	2,668
46	Maryland(MD) Range: $381 – $1,079	$653	$381	$1,079	3,919
47	Oklahoma(OK) Range: $429 – $991	$647	$429	$991	990
48	Ohio(OH) Range: $328 – $1,039	$638	$328	$1,039	3,201
49	Nevada(NV) Range: $423 – $859	$596	$423	$859	2,511
50	Arizona(AZ) Range: $432 – $882	$585	$432	$882	4,188
51	Florida(FL) Range: $35 – $920	$337	$35	$920	4,365

Cost of a Hernia Repair Visitin Delaware