Cost of a Hernia Repair Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's position in the heart of America translates to healthcare costs that run approximately 5% below national averages, benefiting patients seeking specialized surgical care. For Hernia Repair procedures in Missouri, patients typically pay between $492.73 and $1,026.94, with a median out-of-pocket cost of $892.10 based on negotiated insurance rates. With over 5,180 active Hernia Repair providers across the state, patients have substantial options when selecting a surgeon who fits their budget and location preferences.
Average
$804
Median
$892
Lowest
$493
Highest
$1,027
Providers
5,182
5% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,272 | $1,915 | $2,246 | 5,186 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,274 | $1,917 | $2,249 | 5,286 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $502 | $728 | $811 | 5,258 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $507 | $761 | $892 | 5,187 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $623 | $1,127 | $1,300 | 5,243 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $551 | $966 | $1,185 | 5,445 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $822 | $1,163 | $1,375 | 5,264 |
| Septoplasty Nasal septum repair | 30520 | $573 | $821 | $954 | 5,176 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $268 | $480 | $559 | 5,242 |
| Mastectomy Partial or simple mastectomy | 19301 | $516 | $824 | $946 | 5,250 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $402 | $614 | $726 | 5,183 |
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 Missouri
These hospitals in Missouri are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAMAR, MO
MONETT, MO
AURORA, MO
LEXINGTON, MO
CHILLICOTHE, MO
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 Missouri
Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and moderate provider competition across most markets. This cost advantage benefits patients seeking hernia repair, though significant variations exist between urban medical centers and rural community hospitals throughout the state.
Urban vs. Rural Provider Availability
The Kansas City and St. Louis metropolitan areas concentrate most of Missouri's specialized surgical services, including advanced hernia repair techniques like robotic surgery, while rural counties often rely on general surgeons who handle a broader range of procedures. This geographic disparity means patients in areas like the Missouri Bootheel or northern border counties may need to travel significant distances for complex hernia repairs or second opinions. Rural providers often offer more competitive pricing to attract patients who might otherwise seek care in metropolitan areas.
Facility Type and Overhead Costs
Missouri's major health systems including BJC HealthCare, Mercy, and Saint Luke's operate numerous hospital-owned practices that typically charge higher facility fees than independent surgical centers. Free-standing ambulatory surgery centers have proliferated in metropolitan areas, offering cost-effective alternatives for routine hernia repairs while maintaining hospital backup arrangements. Community hospitals in smaller Missouri cities often provide competitive pricing while avoiding the overhead costs associated with large academic medical centers.
Insurance Market Competition in Missouri
Missouri's insurance marketplace features moderate competition with Anthem Blue Cross Blue Shield holding significant market share alongside UHC and Cigna, though rural areas often have fewer insurer options. This competitive environment helps keep negotiated rates reasonable compared to states with highly concentrated insurance markets, benefiting patients through lower out-of-pocket costs. The absence of Medicaid expansion limits insurer participation in some markets, reducing competition and choice for certain patient populations.
Physician Supply and Demand in Missouri
With over 5,180 active Hernia Repair providers statewide, Missouri maintains adequate surgical capacity relative to its population, preventing the supply shortages that drive up costs in other states. This robust provider network includes both general surgeons who perform hernia repairs as part of broader practices and specialists focused specifically on abdominal wall reconstruction. The competitive supply environment helps keep surgical fees reasonable while providing patients with multiple options for both routine and complex hernia repairs.
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 Missouri
What is the average cost of a Hernia Repair visit in Missouri without insurance?
Does Missouri Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Hernia Repair in Missouri?
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 |