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Minnesota

Cost of a Hernia Repair Visit
in Minnesota

Reviewed by Momentary Medical Group West PC

Minnesota's robust healthcare infrastructure, anchored by the Mayo Clinic system and strong regional medical centers, provides patients with extensive access to specialized surgical care including Hernia Repair services. Patients typically pay between $344 and $1,787 for hernia repair procedures, with a median cost of $778 based on negotiated insurance rates across Minnesota's 410 active providers. The state's competitive insurance market, led by Blue Cross Blue Shield Minnesota, UnitedHealthcare, and HealthPartners, helps patients browse all Hernia Repair providers throughout Minnesota's diverse healthcare landscape.

Average

$970

Median

$778

Lowest

$344

Highest

$1,787

Providers

410

National avg: $843Minnesota: $970

15% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$873$2,164$5,078478
Hip Replacement

Total hip replacement (arthroplasty)

27130$91$91$3,2271,859
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$90$763$1,548375
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$892$2,258491
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$444$6,146$6,1461,845
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$898$2,095511
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,311$3,576484
Septoplasty

Nasal septum repair

30520$91$808$1,627341
Tonsillectomy

Tonsillectomy, primary or secondary

42820$94$447$705344
Mastectomy

Partial or simple mastectomy

19301$445$953$2,393418
Carpal Tunnel Surgery

Open carpal tunnel release

64721$358$722$1,930403

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 49505Repair 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 Minnesota

These hospitals in Minnesota are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
89% would recommend537 patient surveys
5/5
86% would recommend196 patient surveys
PERHAM HEALTH

PERHAM, MN

5/5
85% would recommend160 patient surveys
5/5
84% would recommend171 patient surveys
5/5
84% would recommend162 patient surveys

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 Minnesota

Minnesota's healthcare costs run approximately 2% above the national average, reflecting the state's high-quality medical infrastructure and strong physician supply concentrated in urban areas. The state's geography creates distinct cost zones, with the Twin Cities metropolitan area supporting competitive pricing through provider density, while rural regions face higher costs due to limited surgical options and transportation challenges.

Urban vs. Rural Provider Availability

The Minneapolis-St. Paul metropolitan area contains the majority of Minnesota's hernia repair specialists, creating competitive pricing and shorter wait times for patients in the seven-county metro region. Rural Minnesota residents often travel significant distances to access specialized surgical care, with some areas served primarily by critical access hospitals that refer complex cases to larger regional centers. This geographic disparity can add travel costs and time off work to the total expense of hernia repair.

Facility Type and Overhead Costs

Minnesota's healthcare landscape includes major academic medical centers like the Mayo Clinic and University of Minnesota, along with large regional systems such as Allina Health, Fairview, and Essentia Health that operate both hospital-based and ambulatory surgical facilities. Independent surgery centers in the Twin Cities often offer lower facility fees compared to hospital outpatient departments, though the cost difference varies by insurance contract. The state's strong ambulatory surgery center market provides patients with multiple options for outpatient hernia repair procedures.

Insurance Market Competition in Minnesota

Blue Cross Blue Shield Minnesota, UnitedHealthcare, and HealthPartners dominate the state's insurance market, with healthy competition that helps moderate negotiated rates for surgical procedures. The state's robust employer-sponsored insurance market and successful health insurance exchange provide patients with multiple coverage options, though rural areas may have fewer insurer choices. Minnesota's insurance regulations and the presence of strong local health plans help maintain competitive pricing compared to states with less insurer competition.

Physician Supply and Demand in Minnesota

With 410 active providers performing hernia repairs across the state, Minnesota maintains a healthy supply of surgical specialists relative to its population, particularly in urban areas where multiple surgeons practice within the same health systems. The Mayo Clinic's presence attracts additional specialists to the state and elevates the overall quality of surgical care, though this concentration can create wait times for preferred providers. Strong physician supply in metropolitan areas helps moderate pricing through competition, while rural regions may see higher costs due to limited provider availability.

JP

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 Minnesota

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

Without insurance, hernia repair consultations in Minnesota typically range from $344 to $1,787, with a median cost of $778 based on negotiated rates between insurers and providers. Self-pay patients may qualify for discounts of 30-50% off standard rates, especially at independent surgery centers and some hospital systems. Many providers offer payment plans or financing options to help manage the upfront costs of both consultation and surgical procedures.

Does Minnesota Medicaid cover Hernia Repair visits?

Yes, Minnesota's expanded Medicaid program covers medically necessary hernia repair consultations and procedures for eligible patients. You must use providers who accept Medical Assistance (Minnesota's Medicaid program) to receive full coverage benefits. Most major health systems in Minnesota participate in Medicaid, though you may have somewhat limited choice in surgical specialists compared to private insurance options.

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

Compare costs between hospital outpatient departments and ambulatory surgery centers, as independent surgical facilities often offer lower rates for the same procedures. Ask about self-pay discounts and payment plans if you're uninsured, and consider community health centers that may offer sliding scale fees based on income. Minnesota's competitive insurance market means shopping for coverage during open enrollment can significantly impact your out-of-pocket surgical costs.

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 discussions. Follow-up visits for post-operative care or monitoring of non-surgical hernias generally cost 30-50% less than new patient consultations. The exact cost difference depends on the complexity of your case and whether additional diagnostic studies are needed during the initial visit.

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

Yes, both consultations and hernia repair procedures qualify as eligible medical expenses for Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these tax-advantaged funds to pay for deductibles, copays, and any out-of-pocket costs related to hernia treatment. Keep all receipts and documentation, as you may need to provide proof that expenses were for qualified medical care when using HSA or FSA funds.

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

While initial hernia evaluations typically require in-person examination to assess the physical findings, some follow-up visits and pre-operative consultations can be conducted via telemedicine at lower cost. Minnesota has strong telemedicine infrastructure, and many insurance plans cover virtual visits at the same rate as in-person consultations. Telemedicine can be particularly valuable for rural Minnesota patients, reducing travel costs and time away from work for routine follow-up care.

Click a state to compare costs

Average Visit Cost

$337
$1,784

Office visit (CPT 49505)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,784
2Iowa
Range: $457$2,449
$1,346
3Alaska
Range: $440$2,338
$1,154
4Massachusetts
Range: $397$2,168
$1,133
5Montana
Range: $378$2,328
$1,120
6Georgia
Range: $421$1,969
$1,097
7South Dakota
Range: $439$2,034
$1,081
8Wyoming
Range: $628$1,642
$1,050
9New Hampshire
Range: $504$1,521
$1,002
10Nebraska
Range: $637$1,214
$994
11Washington
Range: $592$1,594
$984
12Minnesota
Range: $344$1,787
$970
13Rhode Island
Range: $440$1,521
$940
14North Dakota
Range: $437$1,537
$894
15Maine
Range: $630$1,022
$883
16Utah
Range: $374$1,150
$883
17California
Range: $423$1,216
$871
18Oregon
Range: $440$1,399
$866
19North Carolina
Range: $426$1,453
$859
20District of Columbia
Range: $381$1,221
$834
21Connecticut
Range: $368$1,435
$824
22New Mexico
Range: $465$1,226
$821
23West Virginia
Range: $381$1,378
$806
24Missouri
Range: $493$1,027
$804
25Colorado
Range: $441$1,242
$798
26Michigan
Range: $440$1,216
$797
27Delaware
Range: $330$1,435
$789
28Illinois
Range: $90$1,569
$789
29Pennsylvania
Range: $333$1,448
$781
30Idaho
Range: $438$1,197
$775
31Hawaii
Range: $426$1,149
$769
32New York
Range: $364$1,435
$768
33Kentucky
Range: $396$1,220
$763
34Vermont
Range: $391$1,271
$753
35Arkansas
Range: $461$1,043
$746
36New Jersey
Range: $309$1,435
$740
37Indiana
Range: $90$1,448
$722
38Mississippi
Range: $409$1,251
$718
39Tennessee
Range: $440$1,016
$705
40South Carolina
Range: $391$1,170
$705
41Texas
Range: $407$1,086
$699
42Alabama
Range: $356$1,111
$688
43Louisiana
Range: $383$1,052
$681
44Kansas
Range: $493$872
$667
45Virginia
Range: $358$1,079
$664
46Maryland
Range: $381$1,079
$653
47Oklahoma
Range: $429$991
$647
48Ohio
Range: $328$1,039
$638
49Nevada
Range: $423$859
$596
50Arizona
Range: $432$882
$585
51Florida
Range: $35$920
$337
Inguinal Hernia Repair in Other States