All procedures / Inguinal Hernia Repair
Across 876 US hospitals that publish federally required price files, the median negotiated rate for an inguinal (groin) hernia repair is $3,625 — 1.0× the Medicare outpatient rate of $3,658. The middle half of hospitals negotiated between $2,302 and $4,582; the priciest tenth negotiated more than $7,642, 11.4× the cheapest tenth (under $671). Hospitals that list a self-pay price ask a median of $3,660 (433 hospitals).
Code CPT 49505 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-14 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07
| Insurance type | Hospitals | Median | Middle half | × Medicare |
|---|---|---|---|---|
| Commercial (plan type not stated) | 476 | $5,289 | $2,176 – $8,770 | 1.4× |
| PPO | 496 | $5,435 | $3,534 – $9,716 | 1.5× |
| HMO | 337 | $5,016 | $3,275 – $8,080 | 1.4× |
| EPO | 59 | $5,906 | $3,533 – $7,870 | 1.6× |
| POS | 42 | $3,601 | $3,257 – $6,761 | 1.0× |
| ACA Marketplace | 331 | $5,351 | $3,764 – $6,741 | 1.5× |
| Medicare Advantage | 461 | $3,420 | $1,343 – $3,790 | 0.9× |
| Medicare (as listed) | 493 | $3,611 | $3,275 – $3,894 | 1.0× |
| Medicaid | 474 | $2,230 | $1,011 – $3,250 | 0.6× |
| Workers' comp | 61 | $4,605 | $1,141 – $6,069 | 1.3× |
Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.
| State | Hospitals | Median | Middle half | Spread (shared scale $0–$10,000) | × Medicare | Median cash |
|---|---|---|---|---|---|---|
| Alabama | 11 | $3,207 | $3,104 – $3,375 | 0.9× | $8,358 | |
| Arizona | 11 | $2,308 | $2,308 – $3,034 | 0.6× | $5,194 | |
| Arkansas | 12 | $3,143 | $540 – $3,560 | 0.9× | $4,423 | |
| California | 38 | $4,582 | $4,190 – $6,128 | 1.3× | $4,582 | |
| Colorado | 5 | $2,991 | $883 – $5,425 | 0.8× | $1,333 | |
| Florida | 35 | $3,926 | $3,848 – $3,963 | 1.1× | $2,171 | |
| Georgia | 21 | $6,095 | $3,515 – $6,389 | 1.7× | $15,349 | |
| Hawaii | 7 | $3,493 | $3,458 – $4,075 | 1.0× | $414 | |
| Idaho | 12 | $773 | $458 – $7,262 | 0.2× | $1,501 | |
| Illinois | 29 | $3,837 | $2,738 – $4,418 | 1.0× | $2,562 | |
| Indiana | 18 | $4,546 | $2,004 – $9,147 | 1.2× | $3,942 | |
| Iowa | 30 | $1,062 | $871 – $2,048 | 0.3× | $1,453 | |
| Kansas | 30 | $2,484 | $505 – $4,246 | 0.7× | $2,895 | |
| Kentucky | 24 | $3,416 | $2,527 – $4,488 | 0.9× | $995 | |
| Louisiana | 18 | $3,218 | $836 – $3,748 | 0.9× | $1,870 | |
| Maine | 6 | $2,385 | $797 – $3,962 | 0.7× | $1,302 | |
| Massachusetts | 6 | $4,032 | $3,701 – $5,049 | 1.1× | $11,161 | |
| Michigan | 24 | $2,654 | $1,930 – $3,746 | 0.7× | $5,205 | |
| Minnesota | 23 | $3,529 | $3,278 – $3,706 | 1.0× | $1,115 | |
| Mississippi | 14 | $3,366 | $3,194 – $4,259 | 0.9× | $6,856 | |
| Missouri | 30 | $3,439 | $1,565 – $3,640 | 0.9× | $6,378 | |
| Montana | 7 | $896 | $719 – $2,728 | 0.2× | $1,583 | |
| Nebraska | 22 | $3,229 | $822 – $3,668 | 0.9× | $3,863 | |
| New Hampshire | 6 | $5,421 | $4,396 – $6,268 | 1.5× | — | |
| New Jersey | 19 | $5,115 | $4,028 – $5,875 | 1.4× | $4,996 | |
| New Mexico | 12 | $3,858 | $3,646 – $6,668 | 1.1× | $2,887 | |
| New York | 33 | $4,176 | $3,635 – $4,538 | 1.1× | $4,469 | |
| North Carolina | 16 | $3,426 | $3,323 – $3,523 | 0.9× | $7,790 | |
| North Dakota | 6 | $1,691 | $1,038 – $3,288 | 0.5× | $1,432 | |
| Ohio | 50 | $3,753 | $3,372 – $7,642 | 1.0× | $10,552 | |
| Oklahoma | 24 | $3,564 | $3,143 – $5,358 | 1.0× | $7,195 | |
| Oregon | 18 | $5,365 | $3,239 – $8,830 | 1.5× | $2,590 | |
| Pennsylvania | 43 | $3,451 | $3,212 – $3,845 | 0.9× | $3,522 | |
| South Carolina | 13 | $5,178 | $3,289 – $10,702 | 1.4× | $1,926 | |
| South Dakota | 6 | $3,433 | $2,471 – $8,567 | 0.9× | $3,720 | |
| Tennessee | 16 | $3,384 | $3,368 – $3,551 | 0.9× | $4,768 | |
| Texas | 84 | $3,600 | $3,087 – $4,128 | 1.0× | $4,299 | |
| Utah | 12 | $3,698 | $3,625 – $3,770 | 1.0× | — | |
| Vermont | 6 | $2,490 | $1,178 – $3,469 | 0.7× | $1,157 | |
| Virginia | 15 | $6,844 | $4,596 – $8,661 | 1.9× | $5,250 | |
| Washington | 15 | $1,236 | $542 – $4,640 | 0.3× | $1,272 | |
| West Virginia | 5 | $2,285 | $405 – $3,529 | 0.6× | $9,187 | |
| Wisconsin | 26 | $5,523 | $1,724 – $8,402 | 1.5× | $1,235 | |
| Wyoming | 6 | $2,994 | $2,240 – $3,489 | 0.8× | $2,902 |
middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $10,000
States with at least 5 hospitals in our data (44 states). 6 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.
Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.