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Wyoming

Cost of a Hernia Repair Visit
in Wyoming

Reviewed by Momentary Medical Group West PC

Wyoming's sparse population density of just 5.8 people per square mile creates unique challenges for surgical care access, with many patients traveling significant distances for specialized procedures. For Hernia Repair procedures in Wyoming, patients typically pay between $628 and $1,642, with a median negotiated rate of $880 based on actual insurance company data. The state maintains 172 active Hernia Repair providers across its vast geography, allowing patients to browse options throughout Wyoming's major population centers and rural communities.

Average

$1,050

Median

$880

Lowest

$628

Highest

$1,642

Providers

172

National avg: $843Wyoming: $1,050

25% above national average

Compare Similar Procedures

How does inguinal hernia repair compare to related procedures in Wyoming?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,657$2,271$4,492172
Hip Replacement

Total hip replacement (arthroplasty)

27130$1,632$2,274$4,245176
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$667$924$2,130174
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$648$905$1,845177
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$706$1,113$2,132179
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$631$1,014$1,894180
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$952$1,535$3,043175
Septoplasty

Nasal septum repair

30520$714$1,070$1,996177
Tonsillectomy

Tonsillectomy, primary or secondary

42820$351$479$894175
Mastectomy

Partial or simple mastectomy

19301$747$1,105$2,064174
Carpal Tunnel Surgery

Open carpal tunnel release

64721$519$717$1,358173

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 49505Repair 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 Wyoming

Wyoming's healthcare costs run approximately 8% above the national average despite its rural setting, driven by limited provider competition and high overhead costs for maintaining medical practices across vast distances. The state's small population of 580,000 people spread across 97,000 square miles creates unique economic pressures on healthcare delivery and pricing.

Urban vs. Rural Provider Availability

Most hernia repair specialists concentrate in Cheyenne, Casper, and Jackson, leaving large rural areas underserved and requiring patient travel of 100+ miles for surgical care. Rural hospitals often lack the volume to maintain full-time surgical staff, referring complex cases to urban centers. This geographic concentration allows urban practices to command premium pricing while rural facilities struggle with overhead costs.

Facility Type and Overhead Costs

Hospital-owned surgical practices dominate Wyoming's market, with Banner Health, UCHealth, and Wyoming Medical Center controlling most specialist services. Independent surgical practices are rare due to the high costs of maintaining equipment and staff for low patient volumes. Hospital facility fees typically add $2,000-$5,000 to hernia repair procedures compared to ambulatory surgery centers.

Insurance Market Competition in Wyoming

The limited presence of just three major insurers (BCBS Wyoming, UnitedHealthcare, and Cigna) reduces competitive pressure on negotiated rates with providers. Blue Cross Blue Shield of Wyoming holds the largest market share and often sets pricing standards that other insurers follow. This concentrated market gives insurers significant leverage in rural areas but less negotiating power with large health systems in urban markets.

Physician Supply and Demand in Wyoming

With 172 active hernia repair providers serving the entire state, Wyoming maintains adequate surgical capacity in urban areas but faces shortages in rural regions. The ratio of surgeons to population exceeds national averages in Teton County but falls well below in eastern Wyoming counties. This uneven distribution creates pricing disparities, with rural areas often paying more due to limited competition and higher practice overhead costs.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Hernia Repair Costs in Wyoming

What is the average cost of a Hernia Repair visit in Wyoming without insurance?

Without insurance, hernia repair procedures in Wyoming range from $628 to $1,642, with a median cost of $880 based on actual negotiated rates between insurers and providers. Self-pay patients often receive discounts of 20-40% off these rates when paying upfront. Many surgical practices offer payment plans to help manage these costs over time.

Does Wyoming Medicaid cover Hernia Repair visits?

Wyoming did not expand Medicaid, so coverage is limited to specific populations including pregnant women, children, disabled individuals, and very low-income parents. For eligible recipients, Wyoming Medicaid covers medically necessary hernia repairs when performed by enrolled providers. Patients must receive prior authorization for non-emergency procedures and use in-network surgeons to avoid denied claims.

How do I find an affordable Hernia Repair near me in Wyoming?

Compare costs between hospital-based practices and ambulatory surgery centers, as the latter typically charge 30-50% less for the same procedure. Ask about self-pay discounts and payment plans if you're uninsured or have a high-deductible plan. Community health centers in Wyoming may provide referrals to surgeons who offer sliding-scale fees based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial hernia consultations typically cost $200-400 and involve comprehensive examination and surgical planning, while follow-up visits range from $100-200 for routine post-operative care. The actual hernia repair procedure represents the largest cost component at $628-1,642 based on Wyoming negotiated rates. Most surgeons include several follow-up visits in their global surgical fee to monitor healing and recovery.

Can I use an HSA or FSA to pay for a Hernia Repair visit in Wyoming?

Yes, both HSA and FSA funds can be used for hernia repair consultations and surgical procedures as they qualify as medically necessary healthcare expenses. You can also use these accounts for related costs like prescription pain medications and medical supplies. Keep all receipts and documentation for tax purposes, as the IRS may require proof that expenses were medically necessary.

How does telemedicine affect the cost of seeing a Hernia Repair in Wyoming?

Telemedicine consultations typically cost $75-150, significantly less than in-person visits, and are particularly valuable for follow-up care in rural Wyoming where travel distances are substantial. However, initial hernia evaluations usually require physical examination, limiting telehealth to pre-operative education and post-operative monitoring. Some Wyoming surgeons offer virtual second opinions, which can help patients avoid unnecessary travel while getting expert assessment of their condition.

Click a state to compare costs

Average Visit Cost

$337
$1,784

Office visit (CPT 49505)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,784
2Iowa
Range: $457$2,449
$1,346
3Alaska
Range: $440$2,338
$1,154
4Massachusetts
Range: $397$2,168
$1,133
5Montana
Range: $378$2,328
$1,120
6Georgia
Range: $421$1,969
$1,097
7South Dakota
Range: $439$2,034
$1,081
8Wyoming
Range: $628$1,642
$1,050
9New Hampshire
Range: $504$1,521
$1,002
10Nebraska
Range: $637$1,214
$994
11Washington
Range: $592$1,594
$984
12Minnesota
Range: $344$1,787
$970
13Rhode Island
Range: $440$1,521
$940
14North Dakota
Range: $437$1,537
$894
15Maine
Range: $630$1,022
$883
16Utah
Range: $374$1,150
$883
17California
Range: $423$1,216
$871
18Oregon
Range: $440$1,399
$866
19North Carolina
Range: $426$1,453
$859
20District of Columbia
Range: $381$1,221
$834
21Connecticut
Range: $368$1,435
$824
22New Mexico
Range: $465$1,226
$821
23West Virginia
Range: $381$1,378
$806
24Missouri
Range: $493$1,027
$804
25Colorado
Range: $441$1,242
$798
26Michigan
Range: $440$1,216
$797
27Delaware
Range: $330$1,435
$789
28Illinois
Range: $90$1,569
$789
29Pennsylvania
Range: $333$1,448
$781
30Idaho
Range: $438$1,197
$775
31Hawaii
Range: $426$1,149
$769
32New York
Range: $364$1,435
$768
33Kentucky
Range: $396$1,220
$763
34Vermont
Range: $391$1,271
$753
35Arkansas
Range: $461$1,043
$746
36New Jersey
Range: $309$1,435
$740
37Indiana
Range: $90$1,448
$722
38Mississippi
Range: $409$1,251
$718
39Tennessee
Range: $440$1,016
$705
40South Carolina
Range: $391$1,170
$705
41Texas
Range: $407$1,086
$699
42Alabama
Range: $356$1,111
$688
43Louisiana
Range: $383$1,052
$681
44Kansas
Range: $493$872
$667
45Virginia
Range: $358$1,079
$664
46Maryland
Range: $381$1,079
$653
47Oklahoma
Range: $429$991
$647
48Ohio
Range: $328$1,039
$638
49Nevada
Range: $423$859
$596
50Arizona
Range: $432$882
$585
51Florida
Range: $35$920
$337
Inguinal Hernia Repair in Other States