Maryland

Cost of a Hernia Repair Visit
in Maryland

Name: Inguinal Hernia Repair Cost in Maryland (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Maryland's unique hospital rate-setting system helps standardize healthcare pricing across the state, though Hernia Repair costs still vary by provider and location. Patients typically pay between $381 and $1,079, with a median out-of-pocket cost of $498 for inguinal hernia repair procedures. Maryland maintains nearly 4,000 active Hernia Repair providers throughout the state, offering patients extensive choice when selecting care. You can browse all qualified providers in Maryland to compare costs and credentials before booking.

Average

$653

Median

$498

Lowest

$381

Highest

$1,079

Providers

3,919

National avg: $843Maryland: $653

23% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

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

Procedure	CPT	Low	Median	High	Providers
Knee Replacement Total knee replacement (arthroplasty)	27447	$1,204	$1,365	$3,475	3,921
Hip Replacement Total hip replacement (arthroplasty)	27130	$1,124	$1,289	$2,667	3,950
Cataract Surgery Cataract extraction with intraocular lens insertion	66984	$477	$581	$1,083	3,982
Knee Arthroscopy Arthroscopy of the knee with meniscectomy	29881	$485	$559	$1,591	3,923
Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy	47562	$545	$633	$1,355	3,993
Appendectomy (Laparoscopic) Laparoscopic appendectomy	44970	$437	$573	$1,238	4,028
Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy	58571	$754	$892	$1,779	4,051
Septoplasty Nasal septum repair	30520	$461	$617	$1,395	3,925
Tonsillectomy Tonsillectomy, primary or secondary	42820	$226	$271	$607	3,971
Mastectomy Partial or simple mastectomy	19301	$346	$626	$1,292	3,976
Carpal Tunnel Surgery Open carpal tunnel release	64721	$318	$419	$920	3,931

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.

Full data methodology and glossary

Why Hernia Repair Visit Costs Vary Across Maryland

Maryland's healthcare costs run approximately 13% above national averages, driven by the state's proximity to Washington DC and Baltimore's concentration of major medical centers. The state's unique hospital rate-setting system helps control inpatient costs but has less impact on outpatient surgical procedures like hernia repair.

Urban vs. Rural Provider Availability

The Baltimore-Washington corridor contains the majority of Maryland's hernia repair specialists, creating significant access disparities for residents of rural counties on the Eastern Shore and Western Maryland. Urban areas like Montgomery and Howard counties have high provider density, leading to more competitive pricing and shorter wait times. Rural residents often travel 60+ miles for specialized surgical care, though some may find lower facility fees outside metropolitan areas.

Facility Type and Overhead Costs

Johns Hopkins, University of Maryland Medical System, and MedStar Health dominate Maryland's hospital landscape, with their outpatient surgical centers typically charging premium rates for hernia repair. Independent ambulatory surgery centers often offer the same quality care at 30-50% lower facility fees, particularly in suburban Baltimore and Montgomery County locations. Hospital-owned practices face higher overhead costs, which are often passed through to patients via higher surgical fees.

Insurance Market Competition in Maryland

CareFirst BCBS holds the largest market share in Maryland, followed by UnitedHealthcare and Aetna, creating moderate competition that helps control premium growth but may limit negotiated rate reductions. The state's small size allows most major insurers to maintain comprehensive provider networks, giving patients good access to in-network hernia repair specialists. Maryland's state-based exchange and robust employer market create multiple coverage options, though rural counties may have fewer insurer choices.

Physician Supply and Demand in Maryland

Maryland's nearly 4,000 active Hernia Repair providers represent a healthy supply relative to the state's 6.2 million residents, indicating adequate access in most regions. The concentration of medical schools and residency programs in Baltimore helps maintain physician supply, though rural areas still face shortages of surgical specialists. This adequate provider supply helps moderate pricing pressure, though the highest-volume surgeons in premier locations can still command premium fees.

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A doctor by your side, always

Prescriptions, lab orders, and referrals — instantly

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 Maryland

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

Hernia repair procedures in Maryland range from $381 to $1,079 for uninsured patients, with a median cost of $498 based on current negotiated rates. These costs can vary significantly depending on the surgical facility type, with ambulatory surgery centers typically charging less than hospital-based outpatient departments. Many providers offer self-pay discounts of 20-40% for patients who pay upfront in cash, potentially reducing your final bill below the median rate.

Does Maryland Medicaid cover Hernia Repair visits?

Yes, Maryland Medicaid covers medically necessary hernia repair procedures through the state's expanded HealthChoice program. Coverage includes both the surgical consultation and the repair procedure itself, though prior authorization may be required for non-emergency cases. Patients must use Medicaid-enrolled providers and facilities, and some plans may require referrals from primary care physicians before scheduling specialist consultations.

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

Compare costs between ambulatory surgery centers and hospital outpatient departments, as surgery centers often charge 30-50% less for the same procedure. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider traveling to suburban or rural areas where overhead costs may be lower. Community health centers and federally qualified health centers throughout Maryland may offer sliding-scale fees based on your income level.

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 the comprehensive evaluation required, including physical examination, medical history review, and treatment planning. Follow-up visits after surgery are generally shorter and less expensive, focusing on wound healing and recovery progress. The surgical procedure itself represents the largest cost component, ranging from $381 to $1,079 in Maryland, while office visits are typically much less expensive.

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

Yes, both HSA and FSA funds can be used to pay for medically necessary hernia repair consultations and procedures in Maryland. These tax-advantaged accounts cover deductibles, copays, and coinsurance associated with your hernia treatment. Keep all receipts and documentation, as the IRS requires proof that expenses were for qualified medical care, and hernia repair is considered a qualifying medical expense under federal guidelines.

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

While initial hernia evaluations require in-person physical examination, some follow-up visits and consultations can be conducted via telemedicine at reduced costs. Maryland expanded telehealth coverage during the pandemic, and many insurers now cover virtual consultations at the same rate as in-person visits. Pre-operative consultations and post-surgical follow-ups may be suitable for telehealth, potentially saving patients travel time and reducing overall treatment costs while maintaining quality care.

Click a state to compare costs

Average Visit Cost

$337

$1,784

Office visit (CPT 49505)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $4,031	$1,784	$73	$4,031	2,412
2	Iowa(IA) Range: $457 – $2,449	$1,346	$457	$2,449	317
3	Alaska(AK) Range: $440 – $2,338	$1,154	$440	$2,338	37
4	Massachusetts(MA) Range: $397 – $2,168	$1,133	$397	$2,168	1,003
5	Montana(MT) Range: $378 – $2,328	$1,120	$378	$2,328	32
6	Georgia(GA) Range: $421 – $1,969	$1,097	$421	$1,969	2,843
7	South Dakota(SD) Range: $439 – $2,034	$1,081	$439	$2,034	50
8	Wyoming(WY) Range: $628 – $1,642	$1,050	$628	$1,642	172
9	New Hampshire(NH) Range: $504 – $1,521	$1,002	$504	$1,521	3,656
10	Nebraska(NE) Range: $637 – $1,214	$994	$637	$1,214	2,174
11	Washington(WA) Range: $592 – $1,594	$984	$592	$1,594	2,162
12	Minnesota(MN) Range: $344 – $1,787	$970	$344	$1,787	410
13	Rhode Island(RI) Range: $440 – $1,521	$940	$440	$1,521	57
14	North Dakota(ND) Range: $437 – $1,537	$894	$437	$1,537	39
15	Maine(ME) Range: $630 – $1,022	$883	$630	$1,022	1,521
16	Utah(UT) Range: $374 – $1,150	$883	$374	$1,150	315
17	California(CA) Range: $423 – $1,216	$871	$423	$1,216	2,424
18	Oregon(OR) Range: $440 – $1,399	$866	$440	$1,399	156
19	North Carolina(NC) Range: $426 – $1,453	$859	$426	$1,453	2,159
20	District of Columbia(DC) Range: $381 – $1,221	$834	$381	$1,221	308
21	Connecticut(CT) Range: $368 – $1,435	$824	$368	$1,435	384
22	New Mexico(NM) Range: $465 – $1,226	$821	$465	$1,226	1,171
23	West Virginia(WV) Range: $381 – $1,378	$806	$381	$1,378	86
24	Missouri(MO) Range: $493 – $1,027	$804	$493	$1,027	5,182
25	Colorado(CO) Range: $441 – $1,242	$798	$441	$1,242	1,269
26	Michigan(MI) Range: $440 – $1,216	$797	$440	$1,216	1,658
27	Delaware(DE) Range: $330 – $1,435	$789	$330	$1,435	79
28	Illinois(IL) Range: $90 – $1,569	$789	$90	$1,569	4,730
29	Pennsylvania(PA) Range: $333 – $1,448	$781	$333	$1,448	914
30	Idaho(ID) Range: $438 – $1,197	$775	$438	$1,197	76
31	Hawaii(HI) Range: $426 – $1,149	$769	$426	$1,149	42
32	New York(NY) Range: $364 – $1,435	$768	$364	$1,435	30,842
33	Kentucky(KY) Range: $396 – $1,220	$763	$396	$1,220	146
34	Vermont(VT) Range: $391 – $1,271	$753	$391	$1,271	325
35	Arkansas(AR) Range: $461 – $1,043	$746	$461	$1,043	96
36	New Jersey(NJ) Range: $309 – $1,435	$740	$309	$1,435	6,484
37	Indiana(IN) Range: $90 – $1,448	$722	$90	$1,448	250
38	Mississippi(MS) Range: $409 – $1,251	$718	$409	$1,251	1,278
39	Tennessee(TN) Range: $440 – $1,016	$705	$440	$1,016	2,254
40	South Carolina(SC) Range: $391 – $1,170	$705	$391	$1,170	1,025
41	Texas(TX) Range: $407 – $1,086	$699	$407	$1,086	5,176
42	Alabama(AL) Range: $356 – $1,111	$688	$356	$1,111	2,352
43	Louisiana(LA) Range: $383 – $1,052	$681	$383	$1,052	861
44	Kansas(KS) Range: $493 – $872	$667	$493	$872	1,699
45	Virginia(VA) Range: $358 – $1,079	$664	$358	$1,079	2,668
46	Maryland(MD) Range: $381 – $1,079	$653	$381	$1,079	3,919
47	Oklahoma(OK) Range: $429 – $991	$647	$429	$991	990
48	Ohio(OH) Range: $328 – $1,039	$638	$328	$1,039	3,201
49	Nevada(NV) Range: $423 – $859	$596	$423	$859	2,511
50	Arizona(AZ) Range: $432 – $882	$585	$432	$882	4,188
51	Florida(FL) Range: $35 – $920	$337	$35	$920	4,365

Cost of a Hernia Repair Visitin Maryland