Cost of a Hernia Repair Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's healthcare costs run approximately 12% above national averages, reflecting the state's rural geography and concentrated insurance market. Patients seeking Hernia Repair typically pay between $630.44 and $1021.74, with a median out-of-pocket cost of $998.19 across Maine's 1,521 active providers. Maine residents can browse all available Hernia Repair providers to find the most affordable option for their specific insurance plan and location.
Average
$883
Median
$998
Lowest
$630
Highest
$1,022
Providers
1,521
5% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,713 | $2,488 | $2,689 | 1,522 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,585 | $2,491 | $2,639 | 1,529 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $643 | $1,068 | $1,123 | 1,524 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $634 | $1,054 | $1,087 | 1,528 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $746 | $1,250 | $1,286 | 1,541 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $682 | $1,144 | $1,177 | 1,551 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $1,043 | $1,716 | $1,776 | 1,529 |
| Septoplasty Nasal septum repair | 30520 | $811 | $1,310 | $1,346 | 1,526 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $342 | $573 | $578 | 1,524 |
| Mastectomy Partial or simple mastectomy | 19301 | $749 | $1,255 | $1,274 | 1,523 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $850 | $888 | 1,519 |
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 Maine
These hospitals in Maine are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AUGUSTA, ME
HOULTON, ME
BANGOR, ME
PORTLAND, ME
BAR HARBOR, ME
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 Maine
Maine's healthcare costs run 12% above national averages, driven by the state's challenging geography that spreads 1.4 million residents across rural communities and small cities. The concentration of specialists in the Portland-Lewiston corridor creates access challenges and price premiums for patients in northern and eastern Maine.
Urban vs. Rural Provider Availability
Southern Maine's population density supports multiple surgical practices in Portland, Biddeford, and Lewiston, creating modest price competition. Rural counties like Piscataquis and Aroostook often require patients to travel 100+ miles for specialized surgical care, with limited local alternatives driving up consultation costs.
Facility Type and Overhead Costs
MaineHealth and Northern Light Health dominate Maine's hospital landscape, with their employed surgeons typically charging higher facility fees than independent practices. Hospital-based outpatient clinics carry significantly higher overhead costs, particularly at major centers like Maine Medical Center in Portland, which are reflected in consultation pricing.
Insurance Market Competition in Maine
Anthem Blue Cross Blue Shield holds the largest market share in Maine, followed by Harvard Pilgrim and UnitedHealthCare, creating moderate competition that helps contain some specialist costs. The relatively small insurer pool gives these companies stronger negotiating leverage with providers compared to more fragmented state markets.
Physician Supply and Demand in Maine
With 1,521 active Hernia Repair providers serving Maine's population, the state maintains adequate surgical capacity in aggregate, though geographic distribution heavily favors southern coastal regions. This supply concentration allows Portland-area surgeons to command premium rates while creating access challenges and longer wait times in rural communities.
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 Maine
What is the average cost of a Hernia Repair visit in Maine without insurance?
Does Maine Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Hernia Repair in Maine?
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 |