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Hawaii

Cost of a Hernia Repair Visit
in Hawaii

Reviewed by Momentary Medical Group West PC

Hawaii's isolated island geography creates unique challenges for surgical care access, with patients typically paying between $425.90 and $1,148.69 for a Hernia Repair procedure, with a median cost of $733.53. The Aloha State maintains 42 active Hernia Repair providers across its island chain, though cost variations of up to $722 exist depending on island location and facility type. Patients can browse all providers in Hawaii to compare negotiated rates and find in-network options.

Average

$769

Median

$734

Lowest

$426

Highest

$1,149

Providers

42

National avg: $843Hawaii: $769

9% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,018$1,894$2,94646
Hip Replacement

Total hip replacement (arthroplasty)

27130$90$1,896$2,94750
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$746$1,38651
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$80$752$1,28752
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$80$929$1,50768
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$846$1,37675
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,235$1,92946
Septoplasty

Nasal septum repair

30520$80$858$1,37647
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$399$66545
Mastectomy

Partial or simple mastectomy

19301$85$922$1,47545
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$604$1,04041

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 49505Repair 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.

Why Hernia Repair Visit Costs Vary Across Hawaii

Healthcare costs in Hawaii run approximately 16% above national averages due to the state's isolated location, high cost of living, and limited healthcare infrastructure. The island chain's geography creates unique logistical challenges that drive up operational costs for medical facilities.

Urban vs. Rural Provider Availability

Most of Hawaii's Hernia Repair specialists practice on Oahu, particularly around Honolulu, while neighbor islands have limited surgical options. Patients on Maui, Big Island, or Kauai often must travel to Oahu for complex procedures, adding travel and lodging costs. This geographic concentration allows Oahu facilities to offer more competitive pricing due to higher volume.

Facility Type and Overhead Costs

Hospital-based outpatient surgery in Hawaii carries higher facility fees due to the high cost of maintaining full-service hospitals on isolated islands. Independent ambulatory surgery centers offer lower overhead costs but are primarily located on Oahu. The Queen's Health Systems and Hawaii Pacific Health dominate the hospital market, influencing pricing across the islands.

Insurance Market Competition in Hawaii

HMSA holds the largest market share in Hawaii, followed by UnitedHealthcare and Kaiser Permanente, creating a relatively concentrated insurance market. Limited insurer competition can result in higher negotiated rates compared to more competitive mainland markets. The state's small population and geographic isolation also limit insurers' ability to leverage volume discounts with providers.

Physician Supply and Demand in Hawaii

With 42 active Hernia Repair providers serving the entire state's 1.4 million residents, Hawaii faces a relative shortage of surgical specialists. This supply constraint contributes to higher pricing and longer wait times, particularly on neighbor islands. Many specialists trained on the mainland are recruited to Hawaii with higher salary packages to offset the high cost of living.

JP

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 Hawaii

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

Uninsured patients in Hawaii typically pay between $425.90 and $1,148.69 for a Hernia Repair procedure, with a median cost of $733.53 based on negotiated insurance rates. Self-pay patients may be able to negotiate discounts of 10-30% below these rates, particularly if paying upfront. The final cost depends on the complexity of the repair and whether it's performed at a hospital versus ambulatory surgery center.

Does Hawaii Medicaid cover Hernia Repair visits?

Yes, Hawaii expanded Medicaid under the ACA and covers medically necessary Hernia Repair consultations and procedures. Coverage includes both initial evaluations and surgical repair when the hernia is symptomatic or at risk of complications. Prior authorization may be required for certain surgical techniques or approaches, and patients should confirm their surgeon accepts Medicaid before scheduling.

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

Compare costs between hospital-based facilities and ambulatory surgery centers, as pricing can vary by over $700 for the same procedure. Ask about self-pay discounts if uninsured, and consider traveling to Oahu if you're on a neighbor island for more competitive pricing. Community health centers may offer sliding scale fees, and some facilities provide payment plans to help manage costs.

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

Initial hernia consultations typically cost more than follow-up visits due to comprehensive evaluation and examination requirements. While specific consultation costs aren't detailed in the available data, the surgical procedure itself ranges from $425.90 to $1,148.69 with a median of $733.53. Follow-up visits are generally covered under post-operative care packages when surgery is performed by the same provider.

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

Yes, both HSA and FSA funds can be used to pay for medically necessary Hernia Repair consultations and procedures in Hawaii. These accounts cover surgeon fees, facility costs, and related medical expenses like pre-operative imaging or lab work. Keep all receipts and documentation for your records, as hernia repair is considered a qualified medical expense under IRS guidelines.

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

While initial consultations may be conducted via telemedicine, hernia repair requires physical examination and in-person surgery, limiting telehealth's cost-saving potential. Some follow-up visits can be conducted remotely, reducing travel costs for neighbor island residents. Hawaii's telemedicine regulations allow for initial consultations with mainland specialists, though surgical care must be performed locally by licensed Hawaii providers.

Click a state to compare costs

Average Visit Cost

$337
$1,784

Office visit (CPT 49505)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,784
2Iowa
Range: $457$2,449
$1,346
3Alaska
Range: $440$2,338
$1,154
4Massachusetts
Range: $397$2,168
$1,133
5Montana
Range: $378$2,328
$1,120
6Georgia
Range: $421$1,969
$1,097
7South Dakota
Range: $439$2,034
$1,081
8Wyoming
Range: $628$1,642
$1,050
9New Hampshire
Range: $504$1,521
$1,002
10Nebraska
Range: $637$1,214
$994
11Washington
Range: $592$1,594
$984
12Minnesota
Range: $344$1,787
$970
13Rhode Island
Range: $440$1,521
$940
14North Dakota
Range: $437$1,537
$894
15Maine
Range: $630$1,022
$883
16Utah
Range: $374$1,150
$883
17California
Range: $423$1,216
$871
18Oregon
Range: $440$1,399
$866
19North Carolina
Range: $426$1,453
$859
20District of Columbia
Range: $381$1,221
$834
21Connecticut
Range: $368$1,435
$824
22New Mexico
Range: $465$1,226
$821
23West Virginia
Range: $381$1,378
$806
24Missouri
Range: $493$1,027
$804
25Colorado
Range: $441$1,242
$798
26Michigan
Range: $440$1,216
$797
27Delaware
Range: $330$1,435
$789
28Illinois
Range: $90$1,569
$789
29Pennsylvania
Range: $333$1,448
$781
30Idaho
Range: $438$1,197
$775
31Hawaii
Range: $426$1,149
$769
32New York
Range: $364$1,435
$768
33Kentucky
Range: $396$1,220
$763
34Vermont
Range: $391$1,271
$753
35Arkansas
Range: $461$1,043
$746
36New Jersey
Range: $309$1,435
$740
37Indiana
Range: $90$1,448
$722
38Mississippi
Range: $409$1,251
$718
39Tennessee
Range: $440$1,016
$705
40South Carolina
Range: $391$1,170
$705
41Texas
Range: $407$1,086
$699
42Alabama
Range: $356$1,111
$688
43Louisiana
Range: $383$1,052
$681
44Kansas
Range: $493$872
$667
45Virginia
Range: $358$1,079
$664
46Maryland
Range: $381$1,079
$653
47Oklahoma
Range: $429$991
$647
48Ohio
Range: $328$1,039
$638
49Nevada
Range: $423$859
$596
50Arizona
Range: $432$882
$585
51Florida
Range: $35$920
$337
Inguinal Hernia Repair in Other States