Cost of a Hernia Repair Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas ranks second nationally for total number of surgical procedures performed annually, with over 600 ambulatory surgery centers serving the state's growing population. Patients seeking Hernia Repair in Texas typically pay between $407 and $1,086, with a median out-of-pocket cost of $602. The state's extensive network includes over 5,000 active Hernia Repair providers across major metropolitan areas and rural communities, allowing patients to browse all providers in Texas for competitive pricing options.
Average
$699
Median
$602
Lowest
$407
Highest
$1,086
Providers
5,176
17% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| IUD Removal Cost of intrauterine device (IUD) removal across the US, with state-by-state pricing for both office-based and hospital outpatient settings. | 58301 | $60 | $105 | $199 | 6,391 |
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,056 | $1,568 | $3,006 | 5,230 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,139 | $2,602 | 8,415 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $691 | $1,210 | 6,544 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $421 | $625 | $1,250 | 5,233 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $90 | $776 | $1,300 | 11,548 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $663 | $1,155 | 13,126 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $977 | $1,912 | 5,874 |
| Septoplasty Nasal septum repair | 30520 | $90 | $638 | $1,309 | 7,864 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $313 | $597 | 5,861 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $722 | $1,341 | 5,830 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $469 | $895 | 8,448 |
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 Texas
These hospitals in Texas are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BRYAN, TX
AMARILLO, TX
SAN ANTONIO, TX
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 Texas
Texas Hernia Repair costs run approximately 4% below the national average, reflecting the state's competitive provider market and lower overall healthcare costs compared to coastal regions. The state's sprawling geography creates significant cost variations between metropolitan areas like Dallas-Fort Worth and rural counties where specialist access remains limited.
Urban vs. Rural Provider Availability
Major Texas metro areas including Houston, Dallas, San Antonio, and Austin offer abundant surgical specialists, creating competitive pricing environments. Rural counties across East Texas and the Panhandle region face specialist shortages, often requiring patients to travel significant distances for hernia repair consultations. This geographic disparity affects both access and total cost of care when factoring in travel expenses.
Facility Type and Overhead Costs
Texas's robust ambulatory surgery center market with over 600 facilities provides cost-effective alternatives to hospital-based procedures for routine hernia repairs. Major health systems like Houston Methodist, Baylor Scott & White, and Memorial Hermann operate extensive networks that leverage economies of scale. Independent surgical practices often offer more competitive consultation rates but may lack the comprehensive support services of larger health systems.
Insurance Market Competition in Texas
The Texas insurance market features healthy competition among UHC, BCBS TX, Aetna, and Cigna, particularly in metropolitan areas where multiple options drive competitive negotiated rates. Rural markets may have limited insurer participation, potentially reducing negotiating leverage and increasing costs. The state's large employer market creates opportunities for group purchasing power that can benefit covered employees.
Physician Supply and Demand in Texas
With over 5,000 active Hernia Repair providers statewide, Texas maintains a relatively robust surgical specialist supply compared to national averages. This adequate provider density helps moderate costs and reduces wait times in most metropolitan areas. However, specialist concentration in urban areas means rural patients may face longer waits and higher travel costs for care.
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 Texas
What is the average cost of a Hernia Repair visit in Texas without insurance?
Does Texas Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Hernia Repair in Texas?
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 |