Cost of a Hernia Repair Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's rural healthcare landscape serves a population scattered across 70,000 square miles, with Hernia Repair services concentrated in Fargo, Bismarck, and Grand Forks. Based on transparency data from major insurers, patients typically pay between $437 and $1,537 for Hernia Repair visits, with a median out-of-pocket cost of $709. The state maintains 39 active Hernia Repair providers, offering patients multiple options to browse providers throughout North Dakota.
Average
$894
Median
$709
Lowest
$437
Highest
$1,537
Providers
39
6% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,198 | $1,894 | $3,475 | 37 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $91 | $91 | $2,019 | 455 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $746 | $1,609 | 41 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $331 | $752 | $1,591 | 43 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $691 | $6,146 | $6,146 | 470 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $800 | $1,767 | 55 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $610 | $1,240 | $2,597 | 40 |
| Septoplasty Nasal septum repair | 30520 | $381 | $849 | $1,627 | 42 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $237 | $399 | $820 | 38 |
| Mastectomy Partial or simple mastectomy | 19301 | $478 | $885 | $1,820 | 40 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $319 | $596 | $2,591 | 38 |
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.
Why Hernia Repair Visit Costs Vary Across North Dakota
North Dakota's healthcare costs run approximately 4% above national averages, reflecting the state's rural geography and limited provider competition. The concentration of specialists in Fargo, Bismarck, and Grand Forks creates access challenges for residents in western oil counties and agricultural regions.
Urban vs. Rural Provider Availability
The majority of North Dakota's hernia specialists practice within the Fargo-Moorhead metropolitan area and Bismarck, leaving vast rural areas dependent on traveling surgeons or telemedicine consultations. This geographic disparity drives up costs for rural residents who must factor in travel expenses and time off work.
Facility Type and Overhead Costs
Sanford Health and Essentia Health dominate North Dakota's hospital market, with their employed surgeons typically charging premium rates compared to independent practices. Ambulatory surgery centers offer cost-effective alternatives but remain limited to larger metropolitan areas.
Insurance Market Competition in North Dakota
The state's small population supports limited insurer competition, with Blue Cross Blue Shield of North Dakota, Sanford Health Plan, and UnitedHealthcare controlling most of the market. This concentration reduces competitive pressure on negotiated rates, contributing to higher specialist fees.
Physician Supply and Demand in North Dakota
With 39 active Hernia Repair providers serving a population of 760,000, North Dakota maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply-demand imbalance allows urban practices to command higher fees while creating access barriers for rural patients.
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 Dakota
What is the average cost of a Hernia Repair visit in North Dakota without insurance?
Does North Dakota Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in North Dakota?
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 Dakota?
How does telemedicine affect the cost of seeing a Hernia Repair in North Dakota?
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 |