Cost of a Hernia Repair Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's healthcare market features a growing ambulatory surgical center network that helps keep hernia repair costs approximately 2% below national averages. Patients seeking Hernia Repair services typically pay between $426 and $1,453, with a median out-of-pocket cost of $698 across the state's 2,159 active providers. The Tar Heel State's diverse healthcare landscape spans from major academic medical centers in the Research Triangle to rural community hospitals, giving patients multiple options when browsing all Hernia Repair providers in North Carolina.
Average
$859
Median
$698
Lowest
$426
Highest
$1,453
Providers
2,159
2% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $2,013 | $3,785 | 2,164 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,880 | $3,786 | 2,366 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $390 | $821 | $1,609 | 2,276 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $450 | $795 | $1,504 | 2,192 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $488 | $940 | $1,839 | 2,261 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $776 | $1,655 | 2,518 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,325 | $2,597 | 2,276 |
| Septoplasty Nasal septum repair | 30520 | $500 | $827 | $1,710 | 2,178 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $217 | $396 | $820 | 2,252 |
| Mastectomy Partial or simple mastectomy | 19301 | $346 | $831 | $1,713 | 2,257 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $349 | $592 | $1,241 | 2,171 |
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 North Carolina
These hospitals in North Carolina are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ASHEVILLE, NC
WINSTON-SALEM, NC
SILER CITY, NC
HENDERSONVILLE, NC
DURHAM, NC
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 North Carolina
North Carolina's hernia repair costs run approximately 2% below national averages, reflecting the state's competitive healthcare market and growing ambulatory surgical center network. The state's geography creates distinct cost patterns between the urbanized Piedmont region and rural eastern and western counties.
Urban vs. Rural Provider Availability
The Research Triangle, Charlotte metro, and Triad regions concentrate most of North Carolina's hernia repair specialists, creating competitive pricing in these urban markets. Rural counties, particularly in eastern North Carolina, have fewer surgeons, sometimes requiring patients to travel significant distances for specialized care. This geographic disparity can actually result in lower costs for patients willing to seek care in smaller communities where overhead expenses are reduced.
Facility Type and Overhead Costs
Major health systems like Atrium Health in Charlotte and Duke Health in the Triangle typically charge premium rates due to their academic affiliations and higher overhead costs. Independent surgical centers and community hospitals often provide the same hernia repair procedures at lower facility fees. North Carolina's expanding ASC market gives patients more cost-effective options, especially for outpatient inguinal hernia repairs.
Insurance Market Competition in North Carolina
The dominance of Blue Cross Blue Shield NC, alongside UnitedHealthcare and Aetna, creates a relatively concentrated insurance market with established fee schedules. This concentration can limit price variation among in-network providers but also ensures broad network coverage across the state. Smaller regional insurers and self-funded employer plans sometimes negotiate different rates, creating opportunities for cost savings depending on your specific coverage.
Physician Supply and Demand in North Carolina
With 2,159 active Hernia Repair providers, North Carolina maintains adequate surgeon availability relative to its population, though distribution favors urban areas. This substantial provider network helps keep costs competitive and reduces wait times for non-urgent hernia repairs. The state's medical schools and residency programs produce a steady supply of general surgeons, maintaining this favorable supply-demand balance that benefits patients seeking cost-effective 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 North Carolina
What is the average cost of a Hernia Repair visit in North Carolina without insurance?
Does North Carolina Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Hernia Repair in North Carolina?
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 |