Cost of a Hernia Repair Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's healthcare market operates at approximately 1% below national costs, yet hernia repair procedures still show significant price variation across the state's diverse provider landscape. Patients typically pay between $421 and $1,969 for hernia repair services, with a median out-of-pocket cost of $902 based on negotiated insurance rates from over 2,800 active providers statewide. Georgia maintains a robust network of hernia repair specialists across both urban medical centers and rural surgical facilities, allowing patients to browse providers throughout the state's 159 counties.
Average
$1,097
Median
$902
Lowest
$421
Highest
$1,969
Providers
2,843
30% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,131 | $2,136 | $5,082 | 2,851 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,115 | $2,021 | $5,088 | 2,920 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $93 | $811 | $2,005 | 3,287 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $450 | $854 | $2,024 | 2,855 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $553 | $1,141 | $2,490 | 2,917 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $976 | $2,038 | 3,158 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,337 | $2,855 | 3,043 |
| Septoplasty Nasal septum repair | 30520 | $499 | $950 | $2,190 | 2,853 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $196 | $478 | $981 | 3,030 |
| Mastectomy Partial or simple mastectomy | 19301 | $350 | $982 | $2,473 | 3,025 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $344 | $646 | $1,930 | 2,848 |
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 Georgia
These hospitals in Georgia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BREMEN, GA
REIDSVILLE, GA
CHATSWORTH, GA
Fort Gordon, GA
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 Georgia
Georgia's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living compared to coastal markets. The state's mix of major metropolitan areas and vast rural regions creates distinct pricing tiers for surgical procedures like hernia repair.
Urban vs. Rural Provider Availability
Atlanta's metro area concentrates the majority of Georgia's surgical specialists, creating competitive pricing but also higher facility overhead costs. Rural counties in South Georgia often have limited surgical options, potentially requiring patients to travel significant distances for hernia repair procedures. The state's mountainous North Georgia region falls between these extremes, with regional medical centers serving multiple counties.
Facility Type and Overhead Costs
Hospital systems like Piedmont Healthcare, Emory Healthcare, and Augusta University Health dominate Georgia's surgical landscape, often charging premium facility fees for outpatient procedures. Independent ambulatory surgery centers throughout the state typically offer 30-50% lower facility costs for routine hernia repairs. Academic medical centers in Atlanta, Augusta, and Macon may charge higher rates but offer access to the latest surgical techniques.
Insurance Market Competition in Georgia
Anthem Blue Cross Blue Shield holds the largest market share in Georgia, followed by UnitedHealthcare and Cigna, creating moderate insurer competition in most regions. Rural areas often have fewer insurance options, potentially leading to higher negotiated rates due to limited provider networks. The state's decision not to expand Medicaid reduces insurer competition for lower-income segments, affecting overall market dynamics.
Physician Supply and Demand in Georgia
With over 2,800 providers offering hernia repair services, Georgia maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This supply distribution creates price variations, with rural surgeons sometimes able to charge premium rates due to limited local competition. The state's growing population, particularly in suburban Atlanta, is increasing demand for surgical services and potentially driving up wait times and costs.
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 Georgia
What is the average cost of a Hernia Repair visit in Georgia without insurance?
Does Georgia Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a Hernia Repair in Georgia?
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 |