Cost of a Hernia Repair Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare costs run approximately 5% below national averages, benefiting from moderate market competition among major insurers like Anthem, UHC, and Humana. For Hernia Repair visits in Kentucky, patients with negotiated insurance rates see median costs of $672.58, with the full range spanning from $395.71 to $1220.19 across 146 active providers statewide. Kentucky residents can browse all qualified Hernia Repair specialists through our provider directory to find the most cost-effective option in their area.
Average
$763
Median
$673
Lowest
$396
Highest
$1,220
Providers
146
10% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $977 | $1,837 | $3,564 | 148 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $386 | $1,784 | $3,244 | 179 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $676 | $1,313 | 184 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $394 | $717 | $1,419 | 153 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $837 | $1,539 | 233 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $776 | $1,415 | 246 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $995 | $2,038 | 191 |
| Septoplasty Nasal septum repair | 30520 | $435 | $792 | $1,627 | 149 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $357 | $679 | 178 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $737 | $1,529 | 182 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $340 | $565 | $1,957 | 145 |
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 Kentucky
These hospitals in Kentucky are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BEREA, KY
FLEMINGSBURG, KY
LOUISA, KY
LEXINGTON, KY
CYNTHIANA, KY
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 Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and moderate provider competition across urban centers like Louisville and Lexington. The Commonwealth's mix of rural counties and metropolitan areas creates distinct cost patterns, with Appalachian regions often facing access challenges that can drive up specialist fees.
Urban vs. Rural Provider Availability
Kentucky's 120 counties include vast rural areas where hernia repair specialists may be scarce, particularly in eastern Appalachian regions where patients often travel to Lexington or Louisville for surgical consultations. Urban centers like Jefferson and Fayette counties have higher provider density, creating more competitive pricing and shorter wait times. Rural patients may face higher travel costs but sometimes find lower professional fees at community hospitals.
Facility Type and Overhead Costs
Kentucky's major health systems like Baptist Health, Norton Healthcare, and UK HealthCare operate hospital-based surgical clinics that typically charge higher facility fees than independent surgical practices. Academic medical centers in Louisville and Lexington often have the highest overhead costs but may offer the most advanced minimally invasive techniques. Community hospitals throughout Kentucky frequently provide cost-effective hernia repair services with competitive pricing.
Insurance Market Competition in Kentucky
Kentucky's insurance landscape features healthy competition among Anthem, UHC, and Humana, with regional players also serving specific markets throughout the state. This moderate concentration helps keep negotiated rates reasonable while providing patients with multiple network options. The competitive environment has prevented the extreme rate variations seen in more monopolized state markets.
Physician Supply and Demand in Kentucky
With 146 active Hernia Repair providers serving Kentucky's 4.5 million residents, the state maintains adequate surgical capacity in urban areas while facing shortages in rural counties. This supply-demand balance keeps wait times reasonable in metropolitan areas but may require rural patients to travel for specialized care. The concentration of surgical expertise in Louisville and Lexington creates competitive pricing in these markets while potentially increasing costs in underserved regions.
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 Kentucky
What is the average cost of a Hernia Repair visit in Kentucky without insurance?
Does Kentucky Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Hernia Repair in Kentucky?
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 |