Cost of a Hernia Repair Visit
in Washington
Reviewed by Momentary Medical Group West PC
Washington's healthcare market operates roughly 10% above national cost averages, reflecting the state's mix of urban specialty centers and rural provider networks. Patients seeking Hernia Repair services typically pay between $591.63 and $1593.79, with a median out-of-pocket cost of $767.93 across Washington's 2,162 active providers. The state's expanded Medicaid program and competitive insurance landscape create varied coverage options for patients browsing all Hernia Repair providers in Washington.
Average
$984
Median
$768
Lowest
$592
Highest
$1,594
Providers
2,162
17% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Washington?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,606 | $2,114 | $3,703 | 2,174 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,500 | $2,037 | $3,707 | 2,234 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $616 | $966 | $1,521 | 2,220 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $764 | $1,475 | 4,308 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $806 | $1,815 | 5,408 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $794 | $1,832 | 5,463 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $985 | $1,415 | $2,480 | 2,213 |
| Septoplasty Nasal septum repair | 30520 | $80 | $857 | $1,793 | 4,297 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $324 | $434 | $889 | 2,197 |
| Mastectomy Partial or simple mastectomy | 19301 | $585 | $946 | $1,804 | 2,200 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $490 | $669 | $1,221 | 2,180 |
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 Washington
These hospitals in Washington are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
SPOKANE, WA
CLARKSTON, WA
PULLMAN, WA
PORT TOWNSEND, WA
PROSSER, WA
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 Washington
Washington's healthcare costs run approximately 10% above national averages, driven by the state's concentration of specialty care in urban corridors and higher operational costs. The Puget Sound region dominates the state's healthcare infrastructure, creating cost and access disparities with rural eastern Washington.
Urban vs. Rural Provider Availability
Seattle and surrounding King County host the majority of Washington's hernia specialists, while patients in rural counties like Ferry or Pend Oreille may travel significant distances for surgical consultations. This geographic concentration often means higher costs in urban areas but limited options elsewhere, affecting both pricing and appointment availability.
Facility Type and Overhead Costs
Hospital-based surgical clinics affiliated with systems like UW Medicine or Swedish typically charge more than independent practices due to facility fees and overhead costs. Free-standing surgical centers often offer competitive pricing, particularly for routine hernia evaluations and minor procedures.
Insurance Market Competition in Washington
Washington's four major insurers create moderate competition that helps contain costs compared to single-insurer dominated markets. Premera and Regence compete heavily in the individual market, while Kaiser's integrated model offers different cost structures, and UHC focuses primarily on employer groups.
Physician Supply and Demand in Washington
With 2,162 active Hernia Repair providers statewide, Washington maintains adequate specialist availability relative to its population, though distribution favors urban areas. This supply level helps moderate costs in competitive markets like Seattle while potentially increasing prices in underserved rural regions where specialists are scarce.
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 Washington
What is the average cost of a Hernia Repair visit in Washington without insurance?
Does Washington Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Washington?
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 Washington?
How does telemedicine affect the cost of seeing a Hernia Repair in Washington?
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 |