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I need a hernia repaired

Open repair of an inguinal (groin) hernia — the full episode.

Typical US price before insurance

$7,358

$4,760typical range$10,820

This is an allowed amount — the price actually negotiated with insurers, not the inflated list price. Source: Health Care Cost Institute — HealthPrices.org (2021–2022 vintage (HCCI does not publish the exact data year)).

Facility fee is $5,889 of this. Done laparoscopically instead, the average rises to $10,925. This figure covers INGUINAL (groin) hernias only — not ventral, umbilical or incisional repairs, for which no credible price is published.

What Medicare pays for the same care $3,997

Private insurers pay 1.8× what Medicare pays for this.

All-in: $3,489 to the hospital plus $508 to the doctor (OPPS/APC, 2024). Divide the two figures above and you get our ratio — check our arithmetic. Source: CMS.

What you'd actually pay

Your coverage

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Where you live

Your state

$7,358

The national average price.

State prices from RAND's hospital price study — how much your state's hospitals charge private insurers relative to Medicare. This is a statewide price level, not a per-procedure state price. Maryland isn't shown: it sets hospital rates for all payers, so the comparison doesn't apply there.

This is an estimate, not a bill. It applies published average deductibles and a 20% coinsurance (KFF's measured average for a hospital admission) to a national average price. Your actual plan, hospital and diagnosis will move this number. Not medical or financial advice.