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South Carolina

Cost of a Hernia Repair Visit
in South Carolina

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?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,060$1,527$3,1081,028
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,442$2,9071,247
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$327$647$1,3831,098
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$422$607$1,2661,038
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$483$710$1,5941,072
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$631$1,2901,336
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$975$2,0611,098
Septoplasty

Nasal septum repair

30520$466$679$1,4221,031
Tonsillectomy

Tonsillectomy, primary or secondary

42820$194$307$6441,089
Mastectomy

Partial or simple mastectomy

19301$318$696$1,3151,094
Carpal Tunnel Surgery

Open carpal tunnel release

64721$334$467$1,0301,029

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 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.

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.

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 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

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