Cost of a Hernia Repair Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's healthcare landscape reflects the challenges of serving a largely rural population, with many residents traveling significant distances to access specialized care. Patients seeking Hernia Repair services typically pay between $439 and $2,034, with a median out-of-pocket cost of $769 based on negotiated insurance rates. South Dakota has 50 active Hernia Repair providers across the state, allowing patients to browse all providers in South Dakota to find the most affordable option for their needs.
Average
$1,081
Median
$769
Lowest
$439
Highest
$2,034
Providers
50
28% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,099 | $1,965 | $5,330 | 50 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,769 | $3,012 | 67 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $95 | $778 | $1,313 | 53 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $387 | $776 | $1,811 | 53 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $975 | $6,146 | 77 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $877 | $2,418 | 66 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,242 | $2,541 | 56 |
| Septoplasty Nasal septum repair | 30520 | $90 | $848 | $1,627 | 54 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $197 | $411 | $705 | 51 |
| Mastectomy Partial or simple mastectomy | 19301 | $491 | $940 | $2,423 | 53 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $296 | $622 | $1,068 | 53 |
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 South Dakota
These hospitals in South Dakota are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
RAPID CITY, SD
SIOUX FALLS, SD
SIOUX FALLS, SD
DAKOTA DUNES, SD
SIOUX FALLS, SD
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 South Dakota
South Dakota's healthcare costs run approximately 3% above the national average, influenced by the state's rural geography and limited provider competition in many regions. The state's sparse population density creates unique cost pressures, with many specialists concentrated in Sioux Falls and Rapid City while rural areas rely on traveling surgeons or telemedicine consultations.
Urban vs. Rural Provider Availability
South Dakota's vast rural landscape means most surgical specialists practice in Sioux Falls, Rapid City, or Aberdeen, creating access challenges for patients in remote counties. Rural residents often face higher total costs due to travel expenses and time off work, even if procedure fees are lower at rural hospitals. The state's geography necessitates regional medical centers that serve multi-county areas, affecting both access and pricing structures.
Facility Type and Overhead Costs
Hospital-based outpatient clinics typically charge 30-50% more than independent surgical practices due to higher overhead costs and facility fees. Sanford Health and Monument Health operate major health systems that dominate their respective regions, potentially limiting price competition. Avera Health's network spans much of eastern South Dakota, creating economies of scale but also market concentration that can affect pricing.
Insurance Market Competition in South Dakota
The insurance market features limited competition with Wellmark Blue Cross Blue Shield, Sanford Health Plan, and UnitedHealthcare controlling most of the commercial market. This concentration can lead to stronger negotiating positions with providers but may also limit consumer choice in plan options. Rural areas often have even fewer insurance options, particularly in the individual marketplace, affecting both access and cost-sharing arrangements.
Physician Supply and Demand in South Dakota
With 50 active Hernia Repair providers serving the entire state's population of approximately 900,000, South Dakota maintains adequate surgical capacity in urban areas but limited access in rural regions. This provider distribution creates longer wait times in rural areas while urban centers may have more competitive pricing. The shortage of rural surgeons means many procedures are performed at regional medical centers, potentially increasing facility costs but ensuring access to specialized equipment and support staff.
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 South Dakota
What is the average cost of a Hernia Repair visit in South Dakota without insurance?
Does South Dakota Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in South 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 South Dakota?
How does telemedicine affect the cost of seeing a Hernia Repair in South 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 |