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Oklahoma

Cost of a Hernia Repair Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare costs run approximately 8% below national averages, providing patients with more affordable access to specialized surgical care. For Hernia Repair visits in Oklahoma, patients typically pay between $429 and $991, with a median out-of-pocket cost of $520. With 990 active Hernia Repair providers across the state, patients can browse all providers in Oklahoma to find the most cost-effective option for their needs.

Average

$647

Median

$520

Lowest

$429

Highest

$991

Providers

990

National avg: $843Oklahoma: $647

23% below national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in Oklahoma?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$85$1,314$2,5331,663
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,274$2,5361,700
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$530$9601,703
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$442$563$1,009993
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$545$677$1,2541,018
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$537$1,1421,738
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$655$921$1,6241,023
Septoplasty

Nasal septum repair

30520$500$623$1,200997
Tonsillectomy

Tonsillectomy, primary or secondary

42820$232$289$5401,023
Mastectomy

Partial or simple mastectomy

19301$510$653$1,2571,022
Carpal Tunnel Surgery

Open carpal tunnel release

64721$345$426$823996

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 Oklahoma

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

5/5
92% would recommend745 patient surveys
5/5
92% would recommend1,189 patient surveys
5/5
91% would recommend367 patient surveys
5/5
89% would recommend334 patient surveys
5/5
89% would recommend266 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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and reduced overhead expenses for medical practices. The state's mix of urban medical centers in Oklahoma City and Tulsa alongside widespread rural communities creates distinct pricing tiers based on geographic location and provider density.

Urban vs. Rural Provider Availability

Oklahoma City and Tulsa concentrate most of the state's specialized hernia surgeons, creating cost premiums in these metro areas but also providing patients with more provider choices. Rural areas often have limited surgical specialists, sometimes requiring patients to travel significant distances for hernia repair consultations. This geographic imbalance affects both pricing and access, with rural patients often facing higher total costs due to travel expenses.

Facility Type and Overhead Costs

Hospital-based surgical clinics in Oklahoma, particularly those affiliated with OU Medical Center, Saint Francis, and Hillcrest, typically charge higher facility fees than independent surgical practices. These large health systems offer comprehensive services and advanced surgical technology but pass those overhead costs to patients through higher consultation fees. Independent surgical practices often provide more competitive rates while maintaining quality care standards.

Insurance Market Competition in Oklahoma

With BCBS Oklahoma, UHC, and CommunityCare as the dominant insurers, Oklahoma maintains moderate market competition that prevents extreme rate variations. This insurer concentration allows for more standardized negotiated rates across providers, though smaller regional insurers sometimes offer different rate structures. The competitive dynamic helps keep hernia repair consultation costs reasonable compared to states with less insurer competition.

Physician Supply and Demand in Oklahoma

With 990 active Hernia Repair providers across Oklahoma, the state maintains adequate surgical specialist availability relative to its population of 4 million residents. This healthy provider-to-population ratio prevents severe supply shortages that could drive up consultation costs, though distribution remains concentrated in urban areas. Most patients can schedule hernia consultations within 2-3 weeks, indicating balanced supply and demand dynamics.

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 Oklahoma

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

Without insurance, Hernia Repair visits in Oklahoma range from $429 to $991, with a median cost of $520. These costs reflect negotiated insurance rates and may differ from cash-pay prices, which are often discounted. Many Oklahoma surgical practices offer self-pay discounts of 20-40% off standard rates, making the actual out-of-pocket cost potentially lower than these figures suggest.

Does Oklahoma Medicaid cover Hernia Repair visits?

Oklahoma has not expanded Medicaid, severely limiting eligibility to specific populations like pregnant women, children, and disabled adults. For those who do qualify, traditional Oklahoma Medicaid covers medically necessary hernia repair consultations with prior authorization. Most working-age adults in Oklahoma don't qualify for Medicaid regardless of income level, leaving them to seek private insurance or cash-pay options.

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

Compare costs across different facility types, as independent surgical practices often charge less than hospital-based clinics in Oklahoma. Ask about cash-pay discounts, which many Oklahoma providers offer to uninsured patients. Community health centers in Oklahoma City and Tulsa may also provide sliding fee scales based on income, making specialist consultations more accessible.

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

Initial hernia repair consultations typically cost between $429-$991 based on the complexity of evaluation needed, while follow-up visits generally cost significantly less. The comprehensive nature of initial consultations, including detailed history, physical examination, and treatment planning, justifies the higher cost. Follow-up visits focus on monitoring progress and adjusting treatment plans, requiring less time and resources.

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

Yes, both HSA and FSA funds can be used to pay for hernia repair consultations in Oklahoma as these qualify as eligible medical expenses. Keep all receipts and documentation for your records, as these accounts require proper documentation for tax purposes. Using pre-tax HSA or FSA dollars effectively reduces your out-of-pocket cost by your marginal tax rate.

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

While initial hernia evaluations typically require in-person physical examination to assess the hernia location and severity, some follow-up visits and second opinions can be conducted via telemedicine at reduced costs. Oklahoma has embraced telehealth expansion since 2020, with many insurers now covering virtual consultations. Telemedicine visits generally cost 20-30% less than in-person consultations but have limitations for surgical specialties requiring physical examination.

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