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Nevada

Cost of a Hernia Repair Visit
in Nevada

Reviewed by Momentary Medical Group West PC

Nevada's expanding ASC market in Las Vegas and healthcare costs that run approximately 8% above national averages create a complex pricing environment for medical procedures. Hernia Repair patients typically pay between $422.56 and $859.45, with a median out-of-pocket cost of $505.56 based on negotiated insurance rates. With over 2,500 active Hernia Repair providers across Nevada, patients can browse all qualified specialists to find the most affordable in-network option.

Average

$596

Median

$506

Lowest

$423

Highest

$859

Providers

2,511

National avg: $843Nevada: $596

29% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$1,791$2,6322,510
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,115$1,675$2,3602,552
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$415$808$1,4532,588
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$648$1,0512,525
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$536$706$1,0812,469
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$464$571$9832,562
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$649$825$1,5002,555
Septoplasty

Nasal septum repair

30520$463$628$1,1032,534
Tonsillectomy

Tonsillectomy, primary or secondary

42820$228$284$4812,577
Mastectomy

Partial or simple mastectomy

19301$300$508$1,0222,445
Carpal Tunnel Surgery

Open carpal tunnel release

64721$352$439$7462,527

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 Nevada

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

4/5
83% would recommend534 patient surveys
4/5
80% would recommend426 patient surveys
CARSON VALLEY HEALTH

GARDNERVILLE, NV

4/5
79% would recommend231 patient surveys
4/5
76% would recommend325 patient surveys
4/5
76% would recommend420 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 Nevada

Nevada's healthcare costs run approximately 8% above national averages, driven by the state's rapid population growth and concentration of medical resources in urban corridors. The Silver State's unique geography creates distinct cost zones between the Las Vegas and Reno metropolitan areas and the vast rural regions that comprise most of the state's territory.

Urban vs. Rural Provider Availability

Las Vegas and Reno dominate Nevada's surgical landscape, with most experienced hernia specialists concentrated in these metropolitan areas where competition helps moderate pricing. Rural counties often have limited or no local general surgeons, forcing patients to travel significant distances and potentially pay higher consultation fees. The state's mining communities and agricultural regions particularly struggle with surgical access, creating cost premiums for specialized care.

Facility Type and Overhead Costs

Hospital-based surgical clinics in Nevada typically charge higher consultation fees due to facility fees and administrative overhead, particularly within major health systems like Renown Health in northern Nevada. Independent surgical practices often offer more competitive pricing but may have limited capacity for complex cases requiring hospital resources. The growing number of ambulatory surgery centers in Las Vegas has created new options for both consultations and outpatient procedures.

Insurance Market Competition in Nevada

Competition between UHC, Anthem, and Aetna has created relatively robust network options for Nevada residents, though negotiated rates vary significantly between carriers. The state's insurance market remains moderately competitive, with regional insurers also maintaining networks that affect pricing dynamics. Some insurers have stronger relationships with specific hospital systems, creating cost advantages for patients who choose in-network facilities strategically.

Physician Supply and Demand in Nevada

With over 2,500 active Hernia Repair providers serving Nevada's population, the state maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This provider distribution creates a two-tiered market where urban patients benefit from competitive pricing while rural residents often face higher costs and longer wait times. The concentration of surgeons in Las Vegas and Reno helps keep consultation fees reasonable in these markets but limits options for patients in outlying areas.

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 Nevada

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

Self-pay patients in Nevada typically pay between $422.56 and $859.45 for hernia repair consultations, with a median cost of $505.56 based on negotiated insurance rates. Many surgeons offer cash-pay discounts of 20-40% for uninsured patients who pay at the time of service. Independent practices often provide more flexible pricing than hospital-employed surgeons, and payment plans are commonly available for both consultations and any subsequent procedures.

Does Nevada Medicaid cover Hernia Repair visits?

Yes, Nevada's expanded Medicaid program provides comprehensive coverage for medically necessary hernia repair consultations and surgical procedures. Beneficiaries typically pay minimal copays for specialist visits, and the program maintains networks of participating general surgeons throughout the state. Rural Medicaid patients may need to travel to urban areas for specialized surgical care, but transportation assistance programs are available through some managed care organizations.

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

Start by comparing costs between hospital-employed surgeons and independent practices, as independent providers often offer lower consultation fees and cash-pay discounts. Consider community health centers in Las Vegas and Reno that provide sliding-scale surgical consultations based on income. Many Nevada surgeons offer payment plans, and some participate in medical financing programs that can make care more affordable for uninsured or underinsured patients.

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

Initial hernia repair consultations typically cost between $422.56 and $859.45 in Nevada, while follow-up visits generally range from $200-400 depending on the complexity and provider type. New patient visits require comprehensive evaluation and often include imaging review, while established patient visits focus on symptom progression and treatment planning. Hospital-based surgical clinics may charge facility fees for both types of visits, whereas independent practices typically have more straightforward pricing structures.

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

Yes, both HSA and FSA funds can be used to pay for hernia repair consultations and any related surgical procedures in Nevada. These accounts cover qualified medical expenses including surgeon fees, facility charges, and medically necessary imaging studies. Keep all receipts and documentation for tax purposes, as both consultation and surgical treatment qualify as eligible medical expenses under IRS guidelines.

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

While initial hernia evaluations typically require in-person examination, many Nevada surgeons offer telemedicine follow-up visits at reduced costs of $150-250. Virtual consultations work well for post-operative care, second opinions, and monitoring non-operative hernias over time. Nevada's expansive geography makes telehealth particularly valuable for rural patients, though insurance coverage for virtual surgical consultations varies between carriers and may require prior authorization.

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