Average Medicaid Hernia Repair Payments
Typical Medicaid Hernia Repair reimbursement across 34 cities
Avg. Medicaid Paid
$1,850
Price Range
$26.55 – $4,254
Total Claims
2.8K
Cities
34
Typical Payment Range
Typical Medicaid Hernia Repair payments fall between $234.41 and $2,523 per claim (median: $1,746). The top 10% of payments exceed $3,401.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Hernia repair surgery pushes the bulging tissue back into place and strengthens the weakened muscle wall, often using mesh reinforcement.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Jackson, MS | $2,022 | $2,022 – $2,022 | 628 | 1 |
| New York, NY | $2,565 | $2,501 – $2,571 | 325 | 3 |
| Brooklyn, NY | $2,296 | $2,296 – $2,296 | 217 | 1 |
| Fountain Valley, CA | $55.08 | $55.08 – $55.08 | 183 | 1 |
| Louisville, KY | $1,992 | $873.68 – $3,333 | 165 | 2 |
| Atlanta, GA | $1,969 | $1,535 – $2,029 | 133 | 2 |
| Bronx, NY | $1,920 | $1,920 – $1,920 | 112 | 1 |
| Detroit, MI | $1,749 | $1,749 – $1,749 | 105 | 1 |
| Lexington, KY | $2,418 | $2,418 – $2,418 | 92 | 1 |
| Grand Rapids, MI | $3,122 | $3,122 – $3,122 | 92 | 1 |
| Southfield, MI | $207.72 | $207.72 – $207.72 | 83 | 1 |
| Chicago, IL | $478.15 | $478.15 – $478.15 | 74 | 1 |
| Phoenix, AZ | $3,961 | $3,961 – $3,961 | 69 | 1 |
| Seattle, WA | $2,300 | $2,300 – $2,300 | 56 | 1 |
| Moca, PR | $26.55 | $26.55 – $26.55 | 48 | 1 |
| New Hyde Park, NY | $2,292 | $2,292 – $2,292 | 42 | 1 |
| Cayey, PR | $129.60 | $129.60 – $129.60 | 39 | 1 |
| Boston, MA | $3,757 | $3,757 – $3,757 | 29 | 1 |
| Cleveland, OH | $119.68 | $119.68 – $119.68 | 27 | 1 |
| Lake Mary, FL | $298.90 | $298.90 – $298.90 | 26 | 1 |
| New Haven, CT | $2,622 | $2,622 – $2,622 | 25 | 1 |
| Milwaukee, WI | $775.69 | $775.69 – $775.69 | 25 | 1 |
| Loma Linda, CA | $68.82 | $68.82 – $68.82 | 17 | 1 |
| Waterbury, CT | $4,254 | $4,254 – $4,254 | 16 | 1 |
| Honolulu, HI | $1,743 | $1,743 – $1,743 | 16 | 1 |
| Ventura, CA | $189.33 | $189.33 – $189.33 | 16 | 1 |
| Tucson, AZ | $3,443 | $3,443 – $3,443 | 14 | 1 |
| Farmington Hills, MI | $197.28 | $197.28 – $197.28 | 14 | 1 |
| Van Nuys, CA | $235.71 | $235.71 – $235.71 | 14 | 1 |
| Manati, PR | $206.08 | $206.08 – $206.08 | 13 | 1 |
| Mesa, AZ | $3,383 | $3,383 – $3,383 | 12 | 1 |
| San Bernardino, CA | $233.97 | $233.97 – $233.97 | 12 | 1 |
| Cincinnati, OH | $1,684 | $1,684 – $1,684 | 12 | 1 |
| Rochester, NY | $1,439 | $1,439 – $1,439 | 12 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 49650 | Laparoscopic hernia inguinal | $2,065 | 1,054 | 18 |
| 49580 | Hernia repair umbilical <5 | $1,923 | 592 | 2 |
| 49500 | Hernia repair inguinal init <5 | $1,959 | 514 | 11 |
| 49505 | Hernia repair inguinal init | $1,690 | 378 | 8 |
| 49585 | Hernia repair umbilical >5 | $981.38 | 132 | 3 |
| 49653 | Laparoscopic hernia ventral inc | $478.15 | 74 | 1 |
| 49507 | Hernia repair inguinal init inc | $174.51 | 49 | 3 |
| 49652 | Laparoscopic hernia ventral | $579.50 | 39 | 2 |
| 49561 | Hernia repair incisional inc | $377.34 | 14 | 1 |
| 49491 | Hernia repair init preterm | — | — | — |
| 49492 | Hernia repair init preterm inc | — | — | — |
| 49495 | Hernia repair init full term | — | — | — |
| 49496 | Hernia repair init full inc | — | — | — |
| 49501 | Hernia repair inguinal init inc | — | — | — |
| 49520 | Hernia repair inguinal recur | — | — | — |
| 49521 | Hernia repair inguinal rec inc | — | — | — |
| 49525 | Hernia repair sliding | — | — | — |
| 49540 | Hernia repair lumbar | — | — | — |
| 49550 | Hernia repair femoral init | — | — | — |
| 49553 | Hernia repair femoral init inc | — | — | — |
| 49555 | Hernia repair femoral recur | — | — | — |
| 49557 | Hernia repair femoral rec inc | — | — | — |
| 49560 | Hernia repair incisional init | — | — | — |
| 49565 | Hernia repair incisional recur | — | — | — |
| 49566 | Hernia repair incisional rec inc | — | — | — |
| 49570 | Hernia repair epigastric init | — | — | — |
| 49572 | Hernia repair epigastric inc | — | — | — |
| 49582 | Hernia repair umbilical <5 inc | — | — | — |
| 49587 | Hernia repair umbilical >5 inc | — | — | — |
| 49590 | Hernia repair spigelian | — | — | — |
| 49651 | Laparoscopic hernia inguinal rec | — | — | — |
| 49654 | Laparoscopic hernia incisional | — | — | — |
| 49655 | Laparoscopic hernia inc reducib | — | — | — |
| 49656 | Laparoscopic hernia inc inc | — | — | — |
| 49657 | Laparoscopic hernia inc strang | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.