Cost of a Hernia Repair Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare landscape features over 3,200 active Hernia Repair providers across its major metropolitan areas and rural communities, creating robust competition that helps keep costs manageable. Patients seeking Hernia Repair services in Ohio typically pay between $328 and $1,039, with a median cost of $547 for the procedure. With Medical Mutual, Anthem, and UHC dominating the state's insurance market, Ohio residents benefit from strong network coverage and negotiated rates that run approximately 23% below national averages.
Average
$638
Median
$547
Lowest
$328
Highest
$1,039
Providers
3,201
24% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $848 | $1,471 | $2,491 | 3,206 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,415 | $2,491 | 3,692 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $335 | $613 | $1,087 | 3,282 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $338 | $585 | $983 | 3,234 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $85 | $667 | $1,185 | 4,653 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $355 | $660 | $1,185 | 4,341 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $917 | $1,597 | 3,541 |
| Septoplasty Nasal septum repair | 30520 | $357 | $592 | $1,116 | 3,245 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $297 | $559 | 3,518 |
| Mastectomy Partial or simple mastectomy | 19301 | $303 | $598 | $1,175 | 3,266 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $268 | $453 | $797 | 3,211 |
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 Ohio
These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AKRON, OH
YOUNGSTOWN, OH
Wright-Patterson AFB, OH
MARIETTA, OH
OBERLIN, OH
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's balanced mix of urban competition and reasonable operating costs. The state's moderate cost of living compared to coastal regions helps keep both facility overhead and physician practice expenses manageable, translating to more affordable care for patients.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas including Cleveland, Columbus, and Cincinnati concentrate most specialist providers, creating competitive markets with multiple surgical options. Rural counties, particularly in southeastern Ohio, may have limited local Hernia Repair options, potentially requiring travel to regional medical centers. This geographic disparity can affect both access and pricing, with some rural providers offering competitive rates to attract patients from wider service areas.
Facility Type and Overhead Costs
Ohio's expanding ambulatory surgery center market provides alternatives to traditional hospital-based outpatient departments, often with more transparent pricing and lower facility fees. Major health systems like Cleveland Clinic, OhioHealth, and Kettering Health dominate many regions, but independent surgical practices maintain a strong presence. Hospital-owned facilities typically carry higher overhead costs that get passed through to patients, while independent surgery centers can offer more competitive pricing structures.
Insurance Market Competition in Ohio
The presence of three major insurers - Medical Mutual, Anthem, and UHC - creates meaningful competition for negotiated rates with Ohio providers. Medical Mutual's strong regional presence gives it significant leverage in rate negotiations, while national players Anthem and UHC bring broader networks. This competitive dynamic generally benefits patients through more reasonable negotiated rates and diverse network options compared to states with limited insurer competition.
Physician Supply and Demand in Ohio
With over 3,200 active Hernia Repair providers across Ohio, the state maintains good surgical capacity relative to its population of 11.8 million residents. This adequate supply helps prevent the pricing premiums seen in markets with surgeon shortages, though some rural areas still experience access challenges. The concentration of medical training programs in Cleveland, Columbus, and Cincinnati helps maintain a steady pipeline of surgeons, supporting competitive pricing and reasonable wait times for non-emergency procedures.
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 Ohio
What is the average cost of a Hernia Repair visit in Ohio without insurance?
Does Ohio Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Hernia Repair in Ohio?
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 |