Cost of a Hernia Repair Visit
in Florida
Reviewed by Momentary Medical Group West PC
Florida operates the largest ambulatory surgery center market in the United States, creating competitive pricing for outpatient procedures like hernia repairs. Patients seeking a Hernia Repair in Florida typically pay between $35 and $920, with a median out-of-pocket cost of $55 based on negotiated insurance rates. The state's 4,365 active Hernia Repair providers offer patients extensive options across major metropolitan areas and smaller communities throughout the Sunshine State.
Average
$337
Median
$55
Lowest
$35
Highest
$920
Providers
4,365
60% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Florida?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $35 | $55 | $2,438 | 4,375 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $35 | $55 | $2,391 | 4,789 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $35 | $55 | $964 | 4,841 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $35 | $55 | $980 | 4,406 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $35 | $55 | $1,191 | 4,594 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $35 | $55 | $1,064 | 5,363 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $976 | $2,265 | 3,427 |
| Septoplasty Nasal septum repair | 30520 | $35 | $55 | $938 | 4,395 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $35 | $55 | $505 | 4,801 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $688 | $1,536 | 3,378 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $35 | $55 | $733 | 4,392 |
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 Florida
These hospitals in Florida are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
JACKSONVILLE, FL
NORTH VENICE, FL
NICEVILLE, FL
WESLEY CHAPEL, FL
GULF BREEZE, FL
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 Florida
Florida's healthcare costs run approximately 2% above the national average, driven by high demand from the state's growing and aging population. The Sunshine State's unique market dynamics include seasonal population fluctuations and medical tourism that influence pricing patterns across different regions.
Urban vs. Rural Provider Availability
Florida's I-4 corridor between Tampa and Orlando, plus the Miami-Dade metropolitan area, contains the highest concentration of specialist surgeons, while rural counties in North Florida and the Panhandle face significant provider shortages. This geographic imbalance creates cost disparities, with rural patients often traveling to urban centers and paying higher rates. The Florida Keys and rural Heartland regions have particularly limited surgical specialist access.
Facility Type and Overhead Costs
Florida's extensive ambulatory surgery center network provides competitive alternatives to hospital-based outpatient departments, often at 30-40% lower costs. Major health systems like HCA Florida, AdventHealth, and Baptist Health dominate metropolitan markets but face competition from independent ASCs and physician-owned facilities. Miami's high real estate costs and Tampa's medical district premium pricing contribute to regional variations.
Insurance Market Competition in Florida
UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna compete vigorously in most Florida markets, though rural counties may have limited insurer options on the ACA marketplace. This competition generally keeps negotiated rates reasonable in urban areas while rural markets may see higher costs due to limited provider networks. Florida's large Medicare Advantage enrollment creates additional pricing pressures.
Physician Supply and Demand in Florida
With 4,365 active Hernia Repair providers, Florida maintains adequate surgical capacity in metropolitan areas but faces shortages in rural regions. The state's rapid population growth, particularly among older adults requiring surgical services, strains provider availability and can drive up costs in high-demand markets. Wait times for non-urgent consultations range from 1-2 weeks in cities to 4-6 weeks in rural areas.
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 Florida
What is the average cost of a Hernia Repair visit in Florida without insurance?
Does Florida Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Florida?
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 Florida?
How does telemedicine affect the cost of seeing a Hernia Repair in Florida?
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 |