South Carolina

Cost of a Hernia Repair Visit
in South Carolina

Name: Inguinal Hernia Repair Cost in South Carolina (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

South Carolina's healthcare landscape features over 1,000 active Hernia Repair providers across both rural counties and urban centers like Charleston and Columbia. Patients typically pay between $391 and $1,170 for Hernia Repair procedures, with a median out-of-pocket cost of $554. You can browse all qualified Hernia Repair providers throughout South Carolina to find the most affordable option for your specific insurance plan.

Average

$705

Median

$554

Lowest

$391

Highest

$1,170

Providers

1,025

National avg: $843South Carolina: $705

16% below national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in South Carolina?

Procedure	CPT	Low	Median	High	Providers
Knee Replacement Total knee replacement (arthroplasty)	27447	$1,060	$1,527	$3,108	1,028
Hip Replacement Total hip replacement (arthroplasty)	27130	$80	$1,442	$2,907	1,247
Cataract Surgery Cataract extraction with intraocular lens insertion	66984	$327	$647	$1,383	1,098
Knee Arthroscopy Arthroscopy of the knee with meniscectomy	29881	$422	$607	$1,266	1,038
Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy	47562	$483	$710	$1,594	1,072
Appendectomy (Laparoscopic) Laparoscopic appendectomy	44970	$80	$631	$1,290	1,336
Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy	58571	$85	$975	$2,061	1,098
Septoplasty Nasal septum repair	30520	$466	$679	$1,422	1,031
Tonsillectomy Tonsillectomy, primary or secondary	42820	$194	$307	$644	1,089
Mastectomy Partial or simple mastectomy	19301	$318	$696	$1,315	1,094
Carpal Tunnel Surgery Open carpal tunnel release	64721	$334	$467	$1,030	1,029

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.

Full data methodology and glossary

Why Hernia Repair Visit Costs Vary Across South Carolina

South Carolina's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living compared to coastal regions and major metropolitan areas. The state's mix of urban centers and rural counties creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Charleston, Columbia, and Greenville metro areas concentrate most specialist surgeons, while rural counties in the Pee Dee and Lowcountry regions have limited options. This geographic disparity often requires rural patients to travel for hernia repair, though rural providers typically charge lower facility fees when available.

Facility Type and Overhead Costs

Hospital-owned surgical centers affiliated with major systems like MUSC Health, Prisma Health, and McLeod Health typically charge higher facility fees than independent ambulatory centers. Free-standing surgical centers have grown throughout South Carolina, offering competitive pricing for outpatient hernia repairs.

Insurance Market Competition in South Carolina

The presence of BCBS SC, UHC, and Aetna creates moderate competition, though BCBS SC maintains significant market share as the dominant insurer. This concentration allows for reasonable negotiated rates with providers, though less competition than in states with more diverse insurer markets.

Physician Supply and Demand in South Carolina

With over 1,000 active Hernia Repair providers statewide, South Carolina maintains adequate surgical capacity relative to its population of 5.2 million residents. This healthy provider supply helps keep pricing competitive and reduces wait times for non-emergency hernia repairs across most regions.

HSA/FSA eligible

A doctor by your side, always

Prescriptions, lab orders, and referrals — instantly

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 South Carolina

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

Without insurance, Hernia Repair procedures in South Carolina range from $391 to $1,170, with a median cost of $554 based on negotiated rates from over 1,000 providers statewide. Many surgical practices offer self-pay discounts of 20-40% for uninsured patients, potentially bringing costs below the median range. Payment plans are commonly available to help manage the expense over several months.

Does South Carolina Medicaid cover Hernia Repair visits?

South Carolina chose not to expand Medicaid, limiting coverage to pregnant women, children, disabled individuals, and very low-income families. For those who qualify, Medicaid does cover medically necessary hernia repairs when performed by participating providers. Many uninsured adults fall into a coverage gap where they earn too much for traditional Medicaid but too little for marketplace subsidies.

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

Compare costs across different facility types, as independent ambulatory surgical centers often charge less than hospital-owned facilities. Rural providers typically offer lower rates than those in Charleston or Columbia, though travel costs should be considered. Ask about self-pay discounts, payment plans, and consider community health centers that may offer sliding scale fees based on income.

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

Initial consultations for hernia evaluation typically cost between $391-$1,170 depending on complexity and provider type, while follow-up visits generally cost significantly less. Post-operative follow-up visits are usually included in the global surgical fee for the first 90 days after hernia repair. Pre-operative consultations may be billed separately from the actual surgical procedure.

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

Yes, Hernia Repair procedures qualify as eligible medical expenses for both HSA and FSA accounts, including consultation fees, surgical costs, and related medical expenses. You can use these tax-advantaged accounts to pay deductibles, copayments, and any out-of-pocket costs not covered by insurance. Keep all receipts and documentation for potential IRS verification.

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

While physical examination is required for hernia diagnosis and surgical planning, some surgeons offer telehealth consultations for post-operative follow-ups or second opinions. Telemedicine visits typically cost $50-150 less than in-person consultations and may be more accessible for patients in rural South Carolina counties. However, most insurance plans require in-person evaluation before approving hernia repair surgery.

Click a state to compare costs

Average Visit Cost

$337

$1,784

Office visit (CPT 49505)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $4,031	$1,784	$73	$4,031	2,412
2	Iowa(IA) Range: $457 – $2,449	$1,346	$457	$2,449	317
3	Alaska(AK) Range: $440 – $2,338	$1,154	$440	$2,338	37
4	Massachusetts(MA) Range: $397 – $2,168	$1,133	$397	$2,168	1,003
5	Montana(MT) Range: $378 – $2,328	$1,120	$378	$2,328	32
6	Georgia(GA) Range: $421 – $1,969	$1,097	$421	$1,969	2,843
7	South Dakota(SD) Range: $439 – $2,034	$1,081	$439	$2,034	50
8	Wyoming(WY) Range: $628 – $1,642	$1,050	$628	$1,642	172
9	New Hampshire(NH) Range: $504 – $1,521	$1,002	$504	$1,521	3,656
10	Nebraska(NE) Range: $637 – $1,214	$994	$637	$1,214	2,174
11	Washington(WA) Range: $592 – $1,594	$984	$592	$1,594	2,162
12	Minnesota(MN) Range: $344 – $1,787	$970	$344	$1,787	410
13	Rhode Island(RI) Range: $440 – $1,521	$940	$440	$1,521	57
14	North Dakota(ND) Range: $437 – $1,537	$894	$437	$1,537	39
15	Maine(ME) Range: $630 – $1,022	$883	$630	$1,022	1,521
16	Utah(UT) Range: $374 – $1,150	$883	$374	$1,150	315
17	California(CA) Range: $423 – $1,216	$871	$423	$1,216	2,424
18	Oregon(OR) Range: $440 – $1,399	$866	$440	$1,399	156
19	North Carolina(NC) Range: $426 – $1,453	$859	$426	$1,453	2,159
20	District of Columbia(DC) Range: $381 – $1,221	$834	$381	$1,221	308
21	Connecticut(CT) Range: $368 – $1,435	$824	$368	$1,435	384
22	New Mexico(NM) Range: $465 – $1,226	$821	$465	$1,226	1,171
23	West Virginia(WV) Range: $381 – $1,378	$806	$381	$1,378	86
24	Missouri(MO) Range: $493 – $1,027	$804	$493	$1,027	5,182
25	Colorado(CO) Range: $441 – $1,242	$798	$441	$1,242	1,269
26	Michigan(MI) Range: $440 – $1,216	$797	$440	$1,216	1,658
27	Delaware(DE) Range: $330 – $1,435	$789	$330	$1,435	79
28	Illinois(IL) Range: $90 – $1,569	$789	$90	$1,569	4,730
29	Pennsylvania(PA) Range: $333 – $1,448	$781	$333	$1,448	914
30	Idaho(ID) Range: $438 – $1,197	$775	$438	$1,197	76
31	Hawaii(HI) Range: $426 – $1,149	$769	$426	$1,149	42
32	New York(NY) Range: $364 – $1,435	$768	$364	$1,435	30,842
33	Kentucky(KY) Range: $396 – $1,220	$763	$396	$1,220	146
34	Vermont(VT) Range: $391 – $1,271	$753	$391	$1,271	325
35	Arkansas(AR) Range: $461 – $1,043	$746	$461	$1,043	96
36	New Jersey(NJ) Range: $309 – $1,435	$740	$309	$1,435	6,484
37	Indiana(IN) Range: $90 – $1,448	$722	$90	$1,448	250
38	Mississippi(MS) Range: $409 – $1,251	$718	$409	$1,251	1,278
39	Tennessee(TN) Range: $440 – $1,016	$705	$440	$1,016	2,254
40	South Carolina(SC) Range: $391 – $1,170	$705	$391	$1,170	1,025
41	Texas(TX) Range: $407 – $1,086	$699	$407	$1,086	5,176
42	Alabama(AL) Range: $356 – $1,111	$688	$356	$1,111	2,352
43	Louisiana(LA) Range: $383 – $1,052	$681	$383	$1,052	861
44	Kansas(KS) Range: $493 – $872	$667	$493	$872	1,699
45	Virginia(VA) Range: $358 – $1,079	$664	$358	$1,079	2,668
46	Maryland(MD) Range: $381 – $1,079	$653	$381	$1,079	3,919
47	Oklahoma(OK) Range: $429 – $991	$647	$429	$991	990
48	Ohio(OH) Range: $328 – $1,039	$638	$328	$1,039	3,201
49	Nevada(NV) Range: $423 – $859	$596	$423	$859	2,511
50	Arizona(AZ) Range: $432 – $882	$585	$432	$882	4,188
51	Florida(FL) Range: $35 – $920	$337	$35	$920	4,365