Inguinal hernia repair, open cost.
What inguinal hernia repair, open costs at 124 US hospitals across 61 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $153 to $81,453 (532× spread). CPT code 49505.
Top 5 cheapest hospitals for hernia repair.
| # | Hospital | Cash price |
|---|---|---|
| 1 |
Jefferson Regional Medical Center
Jefferson Hills, PA
|
$153 to $281 |
| 2 |
Allegheny General Hospital
Pittsburgh, PA
|
$193 to $355 |
| 3 |
Adventist Health Glendale
Glendale, CA
|
$232 |
| 4 |
Adventist Health White Memorial Montebello
Montebello, CA
|
$294 |
| 5 |
Seattle Children's Hospital
Seattle, WA
|
$427 to $71,098 |
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Compare hernia repair prices →What is inguinal hernia repair, open?
Inguinal hernia repair, open.
Surgery to repair an inguinal (groin) hernia using an open incision. Outpatient procedure under general or spinal anesthesia. Recovery 2-4 weeks.
Commonly done at ASCs at lower cost than hospitals. Laparoscopic versions exist with different CPTs (49650/49651). The published rate is usually the facility fee.
Why prices vary this much.
The same inguinal hernia repair, open on the same equipment can cost 532 times more at one hospital than another. Three reasons.
Chargemasters are arbitrary. The "sticker price" hospitals publish was never designed for consumers. It's a starting number for negotiation with insurance companies, with adjustments stacked on top for decades. Almost no one pays the chargemaster.
Negotiated rates are confidential bilateral contracts. Each insurance company negotiates its own rate with each hospital. Aetna at Hospital A might pay 60% of what Cigna pays at the same hospital for the same code. You see one rate; the hospital sees dozens.
Cash pay is a separate thing entirely. Many hospitals offer a "self-pay" or "cash-pay" rate that's dramatically cheaper than what they'd bill insurance, especially for elective imaging. If you have a high-deductible plan, paying cash and filing for reimbursement (or just eating the cost) can be the cheapest path.
What to ask the hospital before you book.
The four questions that surface hidden costs:
1. "Is the price you're quoting me the all-in price, or just the facility fee?" Hospitals often quote the facility fee and bill the radiologist or anesthesiologist separately on a different invoice.
2. "What's the cash-pay rate vs the rate you'd bill my insurance?" Don't assume insurance is cheaper. For high-deductible plans, cash pay is often the better deal.
3. "If I'm uninsured, do you have a financial assistance policy I qualify for?" Federally-tax-exempt hospitals are required to have one, and it can knock 50-100% off the bill for households under specific income thresholds.
4. "If I get a bill and the price is different than what was quoted, what's your dispute process?" Get the answer before you book, in writing if possible. If the bill comes in higher than the quote, you have leverage.