Cost of a Hernia Repair Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's healthcare system serves a geographically dispersed population with significant rural access challenges, affecting specialty care availability and pricing. Hernia Repair patients in the state typically pay between $465 and $1,226 for their visit, with a median out-of-pocket cost of $770. With over 1,170 active Hernia Repair providers across New Mexico, patients can browse all available specialists to find the most cost-effective option for their needs.
Average
$821
Median
$770
Lowest
$465
Highest
$1,226
Providers
1,171
3% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,216 | $2,132 | $3,606 | 1,195 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,203 | $2,095 | $3,377 | 1,197 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $474 | $921 | $1,551 | 1,206 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $487 | $840 | $1,281 | 1,185 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $589 | $1,036 | $1,628 | 1,248 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $507 | $884 | $1,408 | 1,265 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $752 | $1,446 | $2,453 | 1,205 |
| Septoplasty Nasal septum repair | 30520 | $566 | $927 | $1,494 | 1,188 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $253 | $430 | $694 | 1,200 |
| Mastectomy Partial or simple mastectomy | 19301 | $560 | $940 | $1,525 | 1,198 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $385 | $634 | $1,031 | 1,183 |
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 New Mexico
These hospitals in New Mexico are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAS CRUCES, NM
ALBUQUERQUE, NM
ESPANOLA, NM
SILVER CITY, NM
SANTA FE, NM
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 Mexico
New Mexico's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural economy. The Land of Enchantment's vast geographic spread creates unique access challenges, with patients in remote areas sometimes traveling hours to reach specialty care in urban centers like Albuquerque and Santa Fe.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe concentrate most of New Mexico's Hernia Repair specialists, while vast rural counties may have limited or no local surgical options. Patients in southeastern oil regions or northwestern tribal lands often face 2-3 hour drives to reach the nearest qualified surgeon. This geographic disparity can affect pricing, with urban areas offering more competitive rates due to higher provider density.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and the University of New Mexico Health System dominate the state's hospital-based surgical care, often charging higher facility fees than independent surgical practices. Smaller regional hospitals and surgery centers typically offer lower overhead costs but may have limited availability for complex hernia repairs. The choice between hospital-based and freestanding facilities can significantly impact your total out-of-pocket expenses.
Insurance Market Competition in New Mexico
BCBS NM holds a significant market share statewide, with UHC and Molina providing additional options primarily in urban markets. Limited insurer competition in many rural counties can result in higher premiums and more restrictive provider networks. This reduced competition sometimes leads to less favorable negotiated rates between insurers and Hernia Repair specialists, potentially increasing patient costs.
Physician Supply and Demand in New Mexico
With over 1,170 active Hernia Repair providers serving the state's 2.1 million residents, New Mexico maintains reasonable specialist availability relative to its population. However, the geographic distribution heavily favors urban areas, creating effective shortages in rural regions that can drive up costs and extend wait times. This supply-demand imbalance means rural patients may pay premium rates or travel extensively for timely care.
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 New Mexico
What is the average cost of a Hernia Repair visit in New Mexico without insurance?
Does New Mexico Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in New Mexico?
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 New Mexico?
How does telemedicine affect the cost of seeing a Hernia Repair in New Mexico?
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 |