Cost of a Hernia Repair Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare market operates at approximately 2% below national costs, offering residents competitive pricing across medical specialties including surgical consultations. For patients seeking a Hernia Repair visit in Utah, costs typically range from $374 to $1,150, with a median out-of-pocket expense of $1,126 based on negotiated insurance rates. The state maintains 315 active Hernia Repair providers across urban and rural areas, giving patients access to quality surgical consultation throughout Utah's diverse geographic regions.
Average
$883
Median
$1,126
Lowest
$374
Highest
$1,150
Providers
315
5% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $842 | $2,803 | $2,906 | 318 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $2,808 | $2,909 | 330 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $1,079 | $1,209 | 368 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $1,157 | $1,294 | 337 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $1,309 | $1,513 | 352 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $975 | $1,321 | 405 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,452 | $1,994 | 354 |
| Septoplasty Nasal septum repair | 30520 | $90 | $1,368 | $1,485 | 322 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $497 | $643 | 356 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $1,363 | $1,449 | 354 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $265 | $930 | $988 | 314 |
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 Utah
These hospitals in Utah are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
HEBER CITY, UT
CEDAR CITY, UT
NORTH LOGAN, UT
ST GEORGE, UT
PARK CITY, UT
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 Utah
Utah's healthcare costs run approximately 2% below the national average, reflecting the state's efficient healthcare delivery systems and competitive insurance market. The state's unique geography, with major population centers along the Wasatch Front and vast rural areas, creates distinct cost patterns for specialty surgical care across different regions.
Urban vs. Rural Provider Availability
The Salt Lake City and Utah County metropolitan areas concentrate most of Utah's surgical specialists, while rural areas like southeastern Utah may have limited local access to Hernia Repair surgeons. Patients in rural communities often travel to urban centers for surgical consultations, though telemedicine options have expanded preliminary consultation availability. This geographic concentration affects pricing, with urban practices facing higher overhead costs but greater competition.
Facility Type and Overhead Costs
Intermountain Healthcare, University of Utah Health, and other major health systems operate hospital-based surgical clinics with higher overhead costs reflected in facility fees. Independent surgical practices throughout Utah typically offer lower consultation fees without additional facility charges, creating significant cost differences for similar services. The choice between academic medical centers, community hospitals, and private surgical centers gives Utah patients diverse options with varying cost structures.
Insurance Market Competition in Utah
SelectHealth, BCBS UT, and UHC compete actively in Utah's insurance market, leading to competitive negotiated rates with surgical providers across the state. The relatively concentrated insurance market allows for stronger negotiating power with providers, contributing to Utah's below-national-average healthcare costs. Regional insurers like SelectHealth often have particularly strong provider networks within Utah, potentially offering better rates than national insurers.
Physician Supply and Demand in Utah
With 315 active Hernia Repair providers serving Utah's 3.3 million residents, the state maintains adequate surgical capacity in urban areas while facing shortages in rural regions. This balanced supply in major metropolitan areas helps contain pricing through competition, while rural areas may see higher costs due to limited provider availability. The presence of major medical training programs at University of Utah helps maintain physician supply, though many graduates leave for higher-paying markets.
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 Utah
What is the average cost of a Hernia Repair visit in Utah without insurance?
Does Utah Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Hernia Repair in Utah?
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 |