Cost of a Hernia Repair Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's healthcare system serves over 10 million residents through a mix of major academic medical centers in Detroit and Grand Rapids, alongside rural critical access hospitals throughout the Upper Peninsula. Hernia Repair visits in Michigan typically cost patients between $439.93 and $1216.26, with a median out-of-pocket cost of $736.01. Michigan has 1,658 active Hernia Repair providers across the state, offering patients multiple options for quality care from Detroit to Marquette.
Average
$797
Median
$736
Lowest
$440
Highest
$1,216
Providers
1,658
5% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $1,872 | $3,355 | 1,660 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,749 | $2,869 | 2,018 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $776 | $1,073 | 1,788 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $753 | $1,294 | 1,677 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $430 | $1,039 | $1,565 | 1,749 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $833 | $2,021 | 2,239 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $93 | $1,316 | $1,926 | 1,724 |
| Septoplasty Nasal septum repair | 30520 | $532 | $635 | $1,072 | 1,631 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $238 | $409 | $559 | 1,670 |
| Mastectomy Partial or simple mastectomy | 19301 | $429 | $654 | $1,470 | 1,712 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $359 | $457 | $1,068 | 1,634 |
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 Michigan
These hospitals in Michigan are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ANN ARBOR, MI
CARSON CITY, MI
PAW PAW, MI
HANCOCK, MI
SHELBY, MI
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 Michigan
Michigan's hernia repair costs run approximately 3% below the national average, reflecting the state's competitive insurance market and diverse mix of urban academic centers and community hospitals. The state's unique geographic challenges, from Detroit's dense urban core to the sparsely populated Upper Peninsula, create significant variations in provider access and pricing across regions.
Urban vs. Rural Provider Availability
Southeast Michigan's Detroit metropolitan area offers the highest concentration of hernia repair surgeons, with major health systems like Henry Ford and Beaumont providing multiple locations and competitive pricing. Rural areas in the Upper Peninsula and northern Lower Peninsula often require patients to travel 100+ miles to reach a hernia specialist, with limited options affecting both access and cost. The concentration of academic medical centers in Ann Arbor, Detroit, and Grand Rapids creates pricing advantages in these urban corridors.
Facility Type and Overhead Costs
Hospital-owned surgical practices, which dominate Michigan's major health systems like Spectrum Health and Trinity Health, typically charge facility fees that can add $200-500 to consultation costs. Independent surgical practices, more common in mid-sized cities like Lansing and Kalamazoo, often have lower overhead and may offer more competitive cash-pay pricing. The state's mix of academic medical centers and community hospitals creates a wide range of pricing structures for hernia care.
Insurance Market Competition in Michigan
Blue Cross Blue Shield of Michigan holds the largest market share, followed by UnitedHealthcare and Aetna, creating moderate competition that helps control costs compared to more concentrated markets. The state's Medicaid managed care program contracts with multiple insurers, providing additional competition in the public insurance space. This competitive environment has resulted in relatively stable pricing for surgical consultations, with most major insurers maintaining broad provider networks.
Physician Supply and Demand in Michigan
With 1,658 active Hernia Repair providers serving Michigan's 10 million residents, the state maintains adequate specialist coverage in urban areas while facing shortages in rural regions. This supply distribution means patients in Detroit and Grand Rapids have multiple provider options and competitive pricing, while those in rural areas may face higher costs due to limited competition. Wait times for hernia consultations average 2-4 weeks in urban areas but can extend to 6-8 weeks in underserved rural counties.
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 Michigan
What is the average cost of a Hernia Repair visit in Michigan without insurance?
Does Michigan Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Hernia Repair in Michigan?
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 |