Cost of a Hernia Repair Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana's healthcare market operates approximately 6% below national cost averages, benefiting from a competitive mix of health systems and growing ambulatory surgery center penetration. Hernia Repair patients in the state typically pay between $90 and $1,448 for their visit, with a median cost of $627. With over 250 active Hernia Repair providers across Indiana's urban centers and rural communities, patients have multiple options to compare costs and find quality care within their network.
Average
$722
Median
$627
Lowest
$90
Highest
$1,448
Providers
250
14% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $90 | $1,720 | $4,087 | 257 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,619 | $3,549 | 291 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $70 | $669 | $1,385 | 294 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $90 | $663 | $1,642 | 260 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $827 | $1,834 | 351 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $757 | $1,804 | 411 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,104 | $2,719 | 294 |
| Septoplasty Nasal septum repair | 30520 | $90 | $683 | $1,472 | 250 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $347 | $649 | 274 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $774 | $1,818 | 273 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $291 | $559 | $1,070 | 246 |
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 Indiana
These hospitals in Indiana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
INDIANAPOLIS, IN
MISHAWAKA, IN
CROWN POINT, IN
BREMEN, IN
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 Indiana
Indiana's healthcare costs run approximately 6% below national averages, driven by lower overhead costs and moderate physician supply relative to demand. The state's growing ambulatory surgery center market creates competitive pressure on traditional hospital-based specialty care pricing.
Urban vs. Rural Provider Availability
Indianapolis, Fort Wayne, and Evansville metropolitan areas concentrate most of the state's surgical specialists, while rural counties often have limited or no local hernia repair options. This geographic disparity forces rural patients to travel significant distances for specialized care, sometimes affecting overall treatment costs when factoring in time and transportation. Northern Indiana's proximity to Chicago-area health systems provides additional options but often at premium pricing.
Facility Type and Overhead Costs
Hospital-owned specialty clinics typically charge higher rates than independent surgical practices due to facility fees and administrative overhead. Indiana University Health, Ascension St. Vincent, and Community Health Network dominate the hospital market, with their employed physicians often carrying higher consultation fees. Independent surgical practices and ambulatory surgery centers frequently offer more competitive pricing for both consultations and procedures.
Insurance Market Competition in Indiana
Anthem Blue Cross Blue Shield holds significant market share alongside UnitedHealthcare and MDwise, creating moderate competition that helps control specialist reimbursement rates. The state's insurance market is more concentrated than neighboring states, which can limit negotiating power for some providers. Rural areas often have fewer insurer options, potentially affecting network adequacy and pricing for surgical specialists.
Physician Supply and Demand in Indiana
With 250 active Hernia Repair providers serving the state's population, Indiana maintains adequate surgical capacity in metropolitan areas but faces shortages in rural regions. This supply distribution creates pricing variations, with rural areas sometimes commanding premium rates due to limited competition. Urban areas benefit from competitive pricing among multiple providers, though wait times for elective consultations remain reasonable across most of the state.
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 Indiana
What is the average cost of a Hernia Repair visit in Indiana without insurance?
Does Indiana Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Hernia Repair in Indiana?
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 |