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Nebraska

Cost of a Hernia Repair Visit
in Nebraska

Reviewed by Momentary Medical Group West PC

Nebraska's healthcare system serves a predominantly rural population with major medical centers concentrated in Omaha and Lincoln, creating distinct cost variations for specialized procedures. Hernia Repair patients typically pay between $637 and $1,214, with a median out-of-pocket cost of $1,131 based on negotiated insurance rates. With over 2,100 active providers across the state, patients have numerous options when browsing all Hernia Repair specialists in Nebraska.

Average

$994

Median

$1,131

Lowest

$637

Highest

$1,214

Providers

2,174

National avg: $843Nebraska: $994

18% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,637$2,935$3,0092,178
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,627$2,938$3,0122,188
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$641$1,209$1,3132,182
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$655$1,174$1,2942,183
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$796$1,428$1,5262,193
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$726$1,304$1,3962,202
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$1,076$1,972$2,1642,184
Septoplasty

Nasal septum repair

30520$765$1,426$1,6272,181
Tonsillectomy

Tonsillectomy, primary or secondary

42820$347$640$7052,176
Mastectomy

Partial or simple mastectomy

19301$760$1,392$1,5292,177
Carpal Tunnel Surgery

Open carpal tunnel release

64721$513$939$1,0682,178

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 Nebraska

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

5/5
93% would recommend266 patient surveys
5/5
92% would recommend174 patient surveys
5/5
88% would recommend136 patient surveys
5/5
87% would recommend499 patient surveys
5/5
85% would recommend297 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 Nebraska

Nebraska's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living and moderate market competition among insurers. The state's vast rural geography creates significant cost disparities between urban medical centers in Omaha and Lincoln versus smaller communities that rely on traveling specialists or referral networks.

Urban vs. Rural Provider Availability

Nebraska's two major metropolitan areas, Omaha and Lincoln, concentrate most specialized surgical services, while rural counties often lack resident general surgeons capable of complex hernia repairs. Patients in western and northern Nebraska frequently travel 100+ miles for specialist consultations, adding travel costs to their overall healthcare expenses. This geographic concentration allows urban providers to command higher fees due to limited competition in their immediate markets.

Facility Type and Overhead Costs

Hospital-based outpatient surgery centers in Nebraska typically charge higher facility fees than independent ambulatory surgical centers, particularly at major systems like Nebraska Medicine and CHI Health. Independent surgical facilities in suburban Omaha and Lincoln often offer competitive pricing while maintaining high quality standards. Rural hospitals may have lower overhead costs but limited surgical capabilities, often referring complex cases to urban centers.

Insurance Market Competition in Nebraska

The Nebraska insurance market features moderate competition with Blue Cross Blue Shield of Nebraska holding significant market share alongside UnitedHealthcare and Aetna. This competitive landscape helps keep negotiated rates reasonable compared to more concentrated markets in other states. Rural areas have fewer insurer options, which can limit patient choice and potentially affect negotiated rates with local providers.

Physician Supply and Demand in Nebraska

With over 2,100 active Hernia Repair providers statewide, Nebraska maintains adequate surgical capacity in urban areas but faces shortages in rural regions. The high provider count relative to the state's population indicates good access in metropolitan areas, helping maintain competitive pricing. Rural physician recruitment challenges mean some areas depend on visiting surgeons or telemedicine consultations, which can affect both availability and cost structures.

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 Nebraska

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

Without insurance, Hernia Repair visits in Nebraska typically range from $637 to $1,214, with a median cost of $1,131 based on negotiated insurance rates. Self-pay patients often receive discounts of 20-40% off these rates, particularly at independent surgical centers. Many providers offer payment plans to help manage these costs, and some facilities provide same-day payment discounts for immediate settlement.

Does Nebraska Medicaid cover Hernia Repair visits?

Yes, Nebraska Medicaid covers medically necessary Hernia Repair consultations and surgical procedures since the state expanded Medicaid in 2020. Eligible adults earning up to 138% of the federal poverty level can access these services through participating providers. Coverage includes both initial consultations and surgical repairs when deemed medically necessary, though prior authorization may be required for certain procedures.

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

Compare costs across different facility types, as independent surgical centers often charge less than hospital-based outpatient departments. Ask about self-pay discounts if you're uninsured, as many Nebraska providers offer significant reductions for cash payment. Community health centers in larger cities may provide sliding-scale fees based on income, and some providers offer bundled pricing that includes the consultation, surgery, and follow-up care.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on transparency data, initial Hernia Repair consultations typically cost between $637-$1,214 with a median of $1,131, while follow-up visits generally run 40-60% less than new patient consultations. The initial visit involves comprehensive evaluation, imaging review, and surgical planning, justifying the higher cost. Follow-up appointments focus on wound checks, recovery monitoring, and addressing specific concerns, requiring less time and resources.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for Hernia Repair consultations and surgical procedures as they qualify as medically necessary expenses. This includes associated costs like diagnostic imaging, pre-operative testing, and surgical supplies. Using these tax-advantaged accounts effectively reduces your out-of-pocket costs by your marginal tax rate, providing significant savings on hernia care.

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

Telemedicine consultations for hernia evaluation typically cost 30-50% less than in-person visits, though physical examination limitations may require follow-up office visits. Many Nebraska providers offer telehealth for initial consultations, post-operative care, and second opinions, particularly beneficial for rural patients who would otherwise travel long distances. However, definitive hernia diagnosis and surgical planning usually require in-person evaluation and imaging studies.

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