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National price data · 2,176 hospitals

Inguinal hernia repair cost

What a inguinal hernia repair costs across the U.S. — and the fair price to aim for.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Miami County Medical Center prices routine shoppable procedures near 0.6× Medicare (p50 0.68×) while skewing captive emergency, lab, and upper-quartile codes to 1.0× Medicare (p75 0.87×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#3 of 103 in KS · 1st State Percentile#83 of 3,385 in U.S. · 2nd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 39% below peer Fair BaseRate (0.61×)
  • Self-pay cash beats commercial insurance on 55% of shoppable procedures (89/100 Cash Honesty)
  • CMS clinical safety score (68/100 safety score) with 68% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.2% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
  • Captive ER (3.5×) & laboratory (2.1×) services average 1.67× higher multiples than routine shoppable care (0.6×)
  • Upper-quartile procedures (Q75 0.87×) jump +28% above the median procedure ratio (Q50 0.68×)
  • Unnegotiated chargemaster list prices average 6.4× Medicare (16¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
0.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.67× Divergence
1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail
Q25 0.26× · Q50 0.68× · Q75 0.87×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
0.6× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.0× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
3.5× MedicareElevated
Inpatient Lab & PathologyBack-Door Captive
2.1× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.7× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
55% Cash Edge · 89/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 68/100Fair
National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Inguinal hernia repair

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State
IA0.35×2.1× MedID0.35×1.7× MedME0.35×1.8× MedMI0.35×1.9× MedUT0.35×1.5× MedVT0.35×1.3× MedWY0.35×1.3× MedNE0.37×2.7× MedCT0.40×2.9× MedKS0.40×2.8× MedWV0.45×3.2× MedMT0.62×4.4× MedPR0.77×1.1× MedNH0.86×6.2× MedLA0.88×6.3× MedNY0.91×6.5× MedMD0.92×6.6× MedAL0.93×6.6× MedAR0.93×6.7× MedTN0.94×6.7× MedKY0.95×6.8× MedMN0.95×6.8× MedMO0.96×6.9× MedOH0.96×6.9× MedNC0.97×6.9× MedPA0.97×6.9× MedSC0.97×6.9× MedSD0.97×7.0× MedHI0.98×7.0× MedND0.99×7.1× MedCO1.00×7.2× MedTX1.00×7.2× MedIN1.01×7.2× MedNM1.03×7.3× MedAZ1.06×7.6× MedIL1.06×7.6× MedOK1.06×7.6× MedNV1.07×7.7× MedFL1.09×7.8× MedNJ1.14×8.2× MedOR1.14×8.2× MedMS1.19×8.5× MedGA1.21×8.6× MedDE1.23×8.8× MedCA1.26×9.0× MedMA1.28×9.1× MedWI1.28×9.2× MedDC1.34×9.6× MedAK1.47×10.5× MedWA1.53×10.9× MedVA1.72×12.3× MedRI1.73×12.4× Med
5 Lowest-Price States (Confounder-Isolated Value Leaders)
IA0.35×(2.1×)ID0.35×(1.7×)ME0.35×(1.8×)MI0.35×(1.9×)UT0.35×(1.5×)
5 Highest-Markup States (Strict Bill Audit Recommended)
RI1.73×(12.4×)VA1.72×(12.3×)WA1.53×(10.9×)AK1.47×(10.5×)DC1.34×(9.6×)
The BaseRate high confidence
$3,585
the fair national price for a inguinal hernia repair
typically $588–$7,330 across 2,176 hospitals · how we calculate it
modeled estimate · not a bill or quote
2,176
hospitals priced
52
states
12.5×
price spread — where shopping matters
7.1×
vs. Medicare

Across 2,176 hospitals in 52 states, a inguinal hernia repair has a fair BaseRate of $3,585 and typically costs $588–$7,330. The cheapest state is VT; the priciest is RI.

Cheapest hospitals for a inguinal hernia repair

Inguinal hernia repair cost by state

AK $5,319 5 hospitals AL $3,361 32 hospitals AR $3,389 30 hospitals AZ $3,859 42 hospitals CA $4,582 168 hospitals CO $3,637 45 hospitals CT $1,463 11 hospitals DC $4,862 2 hospitals DE $4,455 6 hospitals FL $3,963 119 hospitals GA $4,393 53 hospitals HI $3,560 14 hospitals IA $1,079 57 hospitals ID $841 16 hospitals IL $3,837 80 hospitals IN $3,666 68 hospitals KS $1,442 51 hospitals KY $3,457 37 hospitals LA $3,208 48 hospitals MA $4,637 25 hospitals MD $3,328 2 hospitals ME $924 23 hospitals MI $959 64 hospitals MN $3,432 51 hospitals MO $3,484 57 hospitals MS $4,301 34 hospitals MT $2,236 12 hospitals NC $3,523 46 hospitals ND $3,600 9 hospitals NE $1,357 40 hospitals NH $3,126 11 hospitals NJ $4,146 46 hospitals NM $3,729 11 hospitals NV $3,896 17 hospitals NY $3,301 66 hospitals OH $3,489 99 hospitals OK $3,845 38 hospitals OR $4,149 20 hospitals PA $3,517 72 hospitals RI $6,274 5 hospitals SC $3,515 33 hospitals SD $3,531 9 hospitals TN $3,411 52 hospitals TX $3,636 216 hospitals UT $763 32 hospitals VA $6,242 52 hospitals VT $659 10 hospitals WA $5,539 44 hospitals WI $4,649 76 hospitals WV $1,647 12 hospitals WY $683 7 hospitals
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $3,585
Medicare Rate $2,079
Self-Pay Cash Request Quote
Insurer Median $3,629
Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $3,162 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,162

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $3,162).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$5,125 Above Fair BaseRate

Negotiate Toward $3,585 Fair BaseRate ($2,079 Medicare)

Your bill ($8,710) is $5,125 above the denoised Fair BaseRate ($3,585) and 4.2× the $2,079 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.