Average Medicaid Hernia Repair Payments in Rochester, NY: $1,439
Avg. Paid
$1,439
Range
$1,439 – $1,439
Total Claims
12
Providers
1
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.
Hernia repair surgery pushes the bulging tissue back into place and strengthens the weakened muscle wall, often using mesh reinforcement.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Hernia Repair in Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rochester General Hospital
1425 Portland Ave |
$1,439 | 12 | 12 |
What to Expect: Hernia Repair
Hernia repair takes 30 minutes to 2 hours depending on the type. It can be done as open surgery or laparoscopically (minimally invasive). You'll receive general or local anesthesia. Most repairs are outpatient. Recovery takes 1-2 weeks for laparoscopic and 3-6 weeks for open surgery. You should avoid heavy lifting for several weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Hernia Repair cost in Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Hernia Repair in Rochester, NY is $1,439 per claim, based on 12 claims from 1 providers. Typical payments fall between $234.41 and $2,523. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Hernia Repair in Rochester, NY?
There are 1 Medicaid providers offering Hernia Repair related services in Rochester, NY according to public payment data.
What is the price range for Hernia Repair in Rochester, NY?
Medicaid reimbursement for Hernia Repair in Rochester, NY ranges from $1,439 to $1,439 per claim, with an average of $1,439. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Hernia Repair in Other Cities
Jackson, MS
Avg $2,022
628 claims · 1 providers
New York, NY
Avg $2,565
325 claims · 3 providers
Brooklyn, NY
Avg $2,296
217 claims · 1 providers
Fountain Valley, CA
Avg $55.08
183 claims · 1 providers
Louisville, KY
Avg $1,992
165 claims · 2 providers
Atlanta, GA
Avg $1,969
133 claims · 2 providers
Bronx, NY
Avg $1,920
112 claims · 1 providers
Detroit, MI
Avg $1,749
105 claims · 1 providers
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