Cost of a Hernia Repair Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small but concentrated healthcare market, dominated by hospital systems in Burlington and scattered rural clinics, creates unique pricing dynamics for Hernia Repair services. Patients typically pay between $390 and $1,271 for hernia repair procedures, with a median cost of $595 based on negotiated insurance rates. With 325 active Hernia Repair providers across the state, Vermont patients can browse specialists from Chittenden County's medical centers to rural practices serving the Northeast Kingdom.
Average
$753
Median
$596
Lowest
$391
Highest
$1,271
Providers
325
11% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $958 | $1,455 | $3,286 | 326 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $959 | $1,457 | $3,289 | 329 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $403 | $643 | $1,548 | 325 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $410 | $629 | $1,326 | 331 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $492 | $746 | $1,597 | 331 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $449 | $682 | $1,463 | 337 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $678 | $1,043 | $2,143 | 325 |
| Septoplasty Nasal septum repair | 30520 | $500 | $821 | $1,577 | 327 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $220 | $342 | $693 | 324 |
| Mastectomy Partial or simple mastectomy | 19301 | $491 | $749 | $1,593 | 324 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $338 | $519 | $1,053 | 324 |
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.
Why Hernia Repair Visit Costs Vary Across Vermont
Vermont's healthcare costs run approximately 15% above national averages, reflecting the state's rural geography and limited provider competition. The concentration of specialists in Burlington and scattered rural practices creates access challenges that influence pricing across the Green Mountain State.
Urban vs. Rural Provider Availability
Burlington's Chittenden County hosts most of Vermont's surgical specialists, while rural counties often rely on traveling surgeons or require patients to travel significant distances. This geographic disparity doesn't necessarily create cost differences but affects appointment availability and travel expenses for patients.
Facility Type and Overhead Costs
The University of Vermont Medical Center dominates Burlington's market, with hospital-based outpatient surgery often carrying higher facility fees than independent surgical centers. Rural hospitals like those in Brattleboro and Rutland may offer competitive rates but have limited surgical volume compared to urban centers.
Insurance Market Competition in Vermont
BCBS Vermont and MVP Health Care control most of the commercial insurance market, creating moderate competition that keeps negotiated rates relatively stable. The limited number of major insurers means providers have less leverage in rate negotiations compared to larger, more diverse markets.
Physician Supply and Demand in Vermont
With 325 active Hernia Repair providers serving Vermont's small population, the state has adequate surgical capacity in urban areas but potential access issues in rural regions. This supply distribution creates modest wait times in Burlington but may require longer scheduling windows for patients in remote areas.
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 Vermont
What is the average cost of a Hernia Repair visit in Vermont without insurance?
Does Vermont Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Hernia Repair in Vermont?
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 |
