Cost of a Hernia Repair Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural geography and limited specialist networks create significant cost variations for medical procedures across the state's 44 counties. Patients seeking Hernia Repair typically pay between $438 and $1,197, with a median out-of-pocket cost of $690 based on negotiated insurance rates. Idaho maintains 76 active Hernia Repair providers serving communities from Boise to Coeur d'Alene, allowing patients to compare options and find care that fits their budget.
Average
$775
Median
$690
Lowest
$438
Highest
$1,197
Providers
76
8% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,061 | $1,894 | $3,049 | 78 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,843 | $3,023 | 93 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $797 | $1,348 | 101 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $838 | $4,173 | 201 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $738 | $1,480 | 145 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $719 | $1,349 | 182 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,196 | $2,021 | 96 |
| Septoplasty Nasal septum repair | 30520 | $80 | $785 | $1,422 | 122 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $388 | $679 | 96 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $839 | $1,484 | 93 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $581 | $1,031 | 80 |
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 Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and competitive insurance market. The state's vast rural geography and concentrated urban populations create distinct cost patterns between metropolitan Boise and smaller communities across Idaho's mountainous terrain.
Urban vs. Rural Provider Availability
Boise's Treasure Valley contains the majority of Idaho's hernia repair specialists, creating higher competition and more pricing options for urban patients. Rural communities like Twin Falls, Idaho Falls, and Lewiston have fewer surgical options, often requiring patients to travel significant distances for specialized laparoscopic techniques. This geographic disparity can result in higher overall costs for rural patients when factoring in travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-based outpatient surgery departments in Idaho typically charge 30-50% more than independent ambulatory surgery centers due to higher overhead and facility fees. Saint Alphonsus and Primary Health Medical Group dominate much of the state's surgical market, while smaller independent practices often offer more competitive cash-pay pricing. Rural critical access hospitals may have limited surgical capabilities, requiring referrals to urban centers for complex hernia repairs.
Insurance Market Competition in Idaho
Regence BlueCross and PacificSource control significant market share in Idaho, with Mountain Health CO-OP and Blue Cross of Idaho providing additional competition in select regions. This moderate level of insurer competition helps keep negotiated rates reasonable compared to states with single-payer dominance. Rural areas often have fewer insurance options, which can limit provider network choices and affect out-of-pocket costs.
Physician Supply and Demand in Idaho
With 76 active hernia repair providers serving Idaho's 1.9 million residents, the state maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This distribution creates longer wait times and potentially higher costs in underserved areas, while Boise-area patients benefit from competitive pricing. The relatively balanced supply-demand ratio helps keep Idaho's hernia repair costs below national averages.
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 Idaho
What is the average cost of a Hernia Repair visit in Idaho without insurance?
Does Idaho Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Hernia Repair in Idaho?
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 |