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New Hampshire

Cost of a Hernia Repair Visit
in New Hampshire

Reviewed by Momentary Medical Group West PC

New Hampshire's healthcare costs run approximately 11% above national averages, reflecting the state's concentrated provider networks and limited insurer competition. For Hernia Repair visits, patients typically face out-of-pocket costs ranging from $504 to $1,521, with a median cost of $981. With over 3,600 active Hernia Repair providers across New Hampshire, patients can browse multiple options to find affordable, in-network care in their area.

Average

$1,002

Median

$981

Lowest

$504

Highest

$1,521

Providers

3,656

National avg: $843New Hampshire: $1,002

19% above national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in New Hampshire?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,433$2,439$4,0783,658
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,434$2,442$4,0833,670
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$528$993$1,5483,663
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$573$1,014$1,6313,662
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$634$1,240$1,9213,676
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$558$1,131$1,7523,682
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$887$1,611$2,1433,663
Septoplasty

Nasal septum repair

30520$563$1,251$1,7193,662
Tonsillectomy

Tonsillectomy, primary or secondary

42820$290$545$8313,657
Mastectomy

Partial or simple mastectomy

19301$536$1,233$1,6583,659
Carpal Tunnel Surgery

Open carpal tunnel release

64721$429$818$1,2673,658

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 New Hampshire

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

5/5
79% would recommend211 patient surveys
4/5
92% would recommend208 patient surveys
4/5
83% would recommend646 patient surveys
4/5
80% would recommend1,885 patient surveys
NEW LONDON HOSPITAL

NEW LONDON, NH

4/5
78% would recommend191 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 New Hampshire

Healthcare costs in New Hampshire run approximately 11% above the national average, driven by the state's small population spread across diverse geographic regions and limited competition among major health systems. The concentration of specialty services in the Manchester-Nashua corridor and around Dartmouth-Hitchcock creates cost disparities between urban and rural areas throughout the Granite State.

Urban vs. Rural Provider Availability

Most hernia repair specialists practice in the southern tier cities of Manchester, Nashua, and Concord, with limited options in the North Country and Western regions. Patients in rural areas like Berlin, Littleton, or Keene often travel 1-2 hours for specialized surgical consultations, which can increase indirect costs. This geographic concentration allows urban providers to command premium pricing while rural patients face access challenges.

Facility Type and Overhead Costs

Hospital-owned surgical practices dominate New Hampshire's specialty market, with Dartmouth-Hitchcock, Catholic Medical Center, and Elliot Health System controlling much of the referral network. These hospital-affiliated practices typically charge higher rates due to facility fees and administrative overhead compared to independent surgical groups. The state's Certificate of Need laws have historically limited competition between health systems, contributing to higher overall pricing.

Insurance Market Competition in New Hampshire

The dominance of Anthem, Harvard Pilgrim, and Cigna creates moderate competition but limits negotiating leverage for both patients and providers. Anthem holds the largest market share for individual and group plans, giving them significant rate-setting power with local health systems. This concentrated market structure contributes to the state's above-average healthcare costs compared to regions with more robust insurer competition.

Physician Supply and Demand in New Hampshire

With over 3,600 active providers handling hernia repairs, New Hampshire appears well-supplied relative to its population of 1.4 million residents. However, many of these providers are primary care physicians who handle simple cases, with true surgical specialists concentrated in major metropolitan areas. This adequate supply in urban areas helps moderate pricing, though rural access remains challenging and may drive up costs for complex cases requiring specialist referral.

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 New Hampshire

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

Uninsured patients in New Hampshire can expect to pay between $504 and $1,521 for a hernia repair consultation, with a median cost of $981. Many providers offer self-pay discounts of 20-30%, potentially reducing the median cost to $600-700 for upfront payment. Hospital-based practices typically charge toward the higher end of this range, while independent surgical offices may offer more competitive rates.

Does New Hampshire Medicaid cover Hernia Repair visits?

Yes, New Hampshire expanded Medicaid covers hernia repair consultations for eligible adults earning up to 138% of the federal poverty level. Coverage includes both initial evaluations and necessary follow-up visits with participating surgeons. Patients should verify that their chosen provider accepts New Hampshire Medicaid, as some specialists have limited availability for Medicaid patients.

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

Compare costs between hospital-affiliated practices and independent surgical groups, as independent providers often charge 30-40% less than hospital-owned clinics. Look for self-pay discounts if you're uninsured, and consider community health centers in Manchester, Nashua, or Concord for lower-cost options. Rural areas may have fewer specialists but potentially lower overhead costs at smaller practices.

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

Initial hernia consultations typically cost the full $504-$1,521 range depending on complexity and provider type. Follow-up visits are generally 40-60% less expensive, usually ranging from $200-600 for established patients. The specific cost difference depends on whether additional imaging or testing is required during the visit.

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

Yes, hernia repair consultations qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes the specialist visit, any diagnostic imaging ordered during the consultation, and related travel expenses if you need to see a provider more than 50 miles from your home. Keep all receipts and documentation for tax purposes when using these accounts.

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

While initial hernia evaluations require in-person physical examination, some New Hampshire providers offer telehealth follow-up visits at 20-40% lower costs than office visits. Pre-consultation telehealth appointments for reviewing imaging or discussing surgical options typically cost $150-300. However, most insurers in New Hampshire require the initial diagnostic visit to be conducted in person for proper hernia assessment.

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