Cost of a Hernia Repair Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's healthcare system features over 2,400 active Hernia Repair providers across the state, creating competitive pricing options for patients seeking inguinal hernia treatment. Based on negotiated insurance rates, patients typically pay between $73 and $4,031 for hernia repair procedures, with a median cost of $1,248. Wisconsin residents can browse all available Hernia Repair providers to compare costs and find the most affordable option in their area.
Average
$1,784
Median
$1,248
Lowest
$73
Highest
$4,031
Providers
2,412
112% above national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $73 | $3,723 | $10,559 | 2,606 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $73 | $3,602 | $10,564 | 2,707 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $95 | $10,062 | 3,125 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $73 | $1,658 | $4,236 | 2,595 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $73 | $1,221 | $4,635 | 3,551 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $73 | $1,115 | $5,429 | 4,057 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $73 | $1,742 | $5,848 | 5,130 |
| Septoplasty Nasal septum repair | 30520 | $95 | $1,082 | $4,419 | 1,138 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $95 | $547 | $1,404 | 1,113 |
| Mastectomy Partial or simple mastectomy | 19301 | $73 | $984 | $3,947 | 2,389 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $85 | $747 | $5,357 | 2,273 |
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 Wisconsin
These hospitals in Wisconsin are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
GLENDALE, WI
ALTOONA, WI
PRAIRIE DU SAC, WI
MADISON, WI
WOODRUFF, WI
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 Wisconsin
Wisconsin's healthcare costs run approximately 1% above the national average, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of urban medical centers and rural critical access hospitals creates significant price variation for surgical procedures like hernia repair.
Urban vs. Rural Provider Availability
Milwaukee and Madison metro areas concentrate most of Wisconsin's specialized surgical centers, while rural counties often rely on traveling surgeons or referrals to larger facilities. Northern Wisconsin patients frequently travel 2+ hours for hernia repair, potentially increasing total treatment costs. Rural facilities typically charge lower facility fees but may lack advanced laparoscopic equipment.
Facility Type and Overhead Costs
Major Wisconsin health systems like Froedtert, UW Health, and Advocate Aurora dominate urban markets with higher overhead costs reflected in pricing. Independent surgery centers often provide hernia repair at 30-50% lower facility fees than hospital outpatient departments. Academic medical centers in Madison and Milwaukee typically charge premium rates but offer access to the latest surgical techniques.
Insurance Market Competition in Wisconsin
Blue Cross Blue Shield of Wisconsin, UnitedHealthcare, and WEA Trust control most of the state's commercial insurance market, creating moderate negotiating power with providers. Rural areas have fewer insurer options, potentially leading to higher negotiated rates. The state's lack of a comprehensive all-payer claims database limits price transparency compared to neighboring states.
Physician Supply and Demand in Wisconsin
With over 2,400 active providers performing hernia repairs statewide, Wisconsin maintains adequate surgical capacity in most regions. This robust provider network helps keep wait times reasonable and provides patients with multiple options for cost comparison. Rural areas face ongoing surgeon shortages, potentially driving up demand and costs for surgical services in underserved regions.
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 Wisconsin
What is the average cost of a Hernia Repair visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Hernia Repair in Wisconsin?
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 |