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CostHelper > Health & Personal Care  > General Surgery & Neurosurgery > Hernia Repair

Hernia Repair Cost


How Much Does Hernia Repair Cost?

 
low costWith Insurance: $700-$2,000high costWithout Insurance: $4,000-$11,000
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A hernia is a condition that occurs when an internal organ, such as part of the intestine or stomach, bulges through the muscle and skin. Typically hernias appear suddenly, after lifting or straining weak muscles. According to the Cleveland Clinic[1] , about 5 million Americans develop a hernia each year. Surgery is necessary for the hernia to be fully resolved, though some patients can suppress symptoms by using a hernia truss.

Typical costs:

  • About 70 percent of hernias occur in the groin, which is called an inguinal hernia. An inguinal hernia can be repaired through open surgery or laparoscopic surgery, according to the National Guideline Clearinghouse[2] . A recent study[3] of more than 1.5 million hernia operations found that the average cost for an open hernia surgery ranged between $4,200 and $6,200. Those with insurance can expect to pay typical deductibles and coinsurance rates. According to the Medical Expenditure Panel Survey conducted by the Agency for Healthcare Research and Quality, the average family will have a $939 deductible to meet each year before their insurance benefits cover procedures. In addition, the survey found that the average coinsurance rate is about 17.9 percent of the bill. This means the average patient would pay between $750 and $1,109 for their hernia surgery.
  • The other common type of hernia is called an umbilical hernia, which occurs in the abdomen. An umbilical hernia can also be repaired through laparoscopic or open surgery, which can cost an individual without insurance between $4,000 and $11,000. The average individual with insurance can expect to pay between $700 and $2,000.
  • Some patients opt to delay surgical treatment of a hernia. In these cases, physicians often recommend the use of a hernia truss. A hernia truss or hernia support pushes the bulging organ back into the body. Hernia supports can cost between $15 and $110.
Related articles: Laparoscopy, Back Surgery

What should be included:
  • Patients undergoing open surgical treatment of a hernia will have an incision made in the skin, near the site of the hernia. The surgeon will push the bulging organ back into its proper position and then will repair the muscle tear. Patients undergoing laparoscopic surgical treatment of a hernia will have three small incisions made near the site of the hernia. The surgeon will use a camera to view the issues inside the body and small instruments to make repairs to the injured tissue.
  • Patients can expect to spend a few hours at the hospital or outpatient surgery center recovering. In some cases, a longer recovery period is necessary. During the recovery time, patients will have a bed and may receive intravenous fluids. Pain relief will also be provided, either via IV or tablet.
Additional costs:
  • Patients recovering from hernia surgery may be prescribed pain medication when leaving the hospital.
  • Most patients will not need rehabilitation services after hernia surgery, but significant time off from work may be required. According to the National Guideline Clearinghouse[4] , patients undergoing open surgery can return to light clerical work in about two weeks. Patients who work as manual laborers should wait between 21 and 56 days before returning to work, depending upon the intensity of their job. Those undergoing laparoscopic surgery should wait about a week before returning to light clerical work and about two weeks to 28 days before returning to a manual labor position. For many patients, the Family Medical Leave Act[5] will protect them from losing their job during a period of medical leave. However, employers are not required to offer pay beyond accrued vacation and sick leave time during the recovery period. Before the surgery, patients who may require extended medical leave should research the medical leave act and talk to their human resources department about leave options.
Discounts:
  • Many hospitals will provide financial assistance to low-income families and individuals. The level of assistance and income requirements will vary by facility. Be sure to contact the hospital or outpatient facility prior to receiving treatment.
Shopping for hernia repair:
  • A patient's primary care physician will likely refer the patient to a surgeon for a surgical hernia repair. Patients can check a physician's licensure status with their state department of registration. Patients can also make sure their surgeon is board-certified through the American Board of Medical Specialties [6] .
  • For more information about selecting a doctor, the National Institutes of Health [7] offers a free guide online.
  • When shopping for a hernia truss, make sure the system fits and adequately supports the hernia. Many trusses will provide complete relief of symptoms, though they do not cure the hernia. Patient can ask a pharmacist for assistance in determining proper fit.
  • not covered by insurance
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Hernia Repair
Amount: $600.00
Posted by: James_H in Farmington Hills, MI.Posted: June 18th, 2014 06:06AM
Type of Hernia: UmbilicalType of Procedure: Stitched
Surgeon: Medical Facility: Botsford Hospital
Repaired my umbilical hernia with 3 stitches. Tear was not large enough for a mesh. Total cost before insurance was about $6000. My out of pocket was around $600 since I hadn't met my deductible. Two days off work. Only the first day of recovery was uncomfortable. Very Easy. If you need it done, just do it. Simple procedure with nothing to worry about.
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Bilateral hernia repair
Amount: $3,200.00
Posted by: Holen in Rockville, MD.Posted: March 2nd, 2014 06:03AM
Type of Hernia: inguinalType of Procedure: mesh
Surgeon: Dr. Alan KravitzMedical Facility: Montgomery Surgery Center
Repair done Feb. 2014 not 2013
Excellent!!
Flat fee for 1 repair is $1900.
After arrival Dr. found 2nd hernia, thus the $3200
total price.
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Large Ventral Hernia with BioMesh
Amount: $300,000.00
Posted by: 1Michele in denver, CO.Posted: July 29th, 2013 10:07AM
Type of Hernia: VentralType of Procedure: open/robotic
Surgeon: ColoradoMedical Facility: Colorado
I believe that I have one of the most expensive hernia repairs of all time and still infected and spending more money on the ongoing issues, I should say my insurance company is spending money:) I was open for 9 plus hours and in the hospital for 7 days so still expensive....
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Tim Thompson
Amount: $28,500.00
Posted by: timoteo in mammoth lakes, CA.Posted: December 7th, 2011 07:12AM
Type of Hernia: inguinalType of Procedure: bilateral inguinal laparoscopic
Surgeon: andy bourneMedical Facility: Mammoth Hospital
seems like I am the second most expensive bilateral inguinal surgery in the usa
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Hernia repair
Amount: $1,900.00
Posted by: David Kapell in London, Other.Posted: March 27th, 2010 06:03AM
Type of Hernia: InguinalType of Procedure: open
Surgeon: Medical Facility: British Hernia Center
I had a 15-minute, painless, outpatient hernia repair that entailed NO pain, required NO time off from work, came with a documented .5% recurrence rate and was guaranteed for life! I walked over 15 miles the NEXT DAY starting 18 hours after the surgery and it didn't slow me down one bit. All for $1,900. And America has THE BEST health care system in the world? Not for hernias!
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Hernia Operation
Amount: $0.00
Posted by: stetson in Augusta, ME.Posted: February 1st, 2010 10:02PM
Type of Hernia: belly buttonType of Procedure: hernia repair with mesh
Surgeon: Medical Facility: Maine Medical
Don't remember surgeon who did it but she was scottish and she did a great job!
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External Resources:
  1.  my.clevelandclinic.org/digestive_diseases/departments-centers/general-surgery/hernia-ce...
  2.  www.guideline.gov/iedetect.aspx
  3.  www.ncbi.nlm.nih.gov/pubmed/12415334?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pu...
  4.  www.guideline.gov/iedetect.aspx
  5.  www.dol.gov/whd/fmla/index.htm
  6.  www.certificationmatters.org/is-your-doctor-board-certified.aspx
  7.  www.nlm.nih.gov/medlineplus/choosingadoctororhealthcareservice.html
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Repaired my umbilical hernia with 3 stitches. Tear was not large enough for a mesh. Total cost before insurance was about $6000. My out of pocket was around $600 since I hadn't met my deductible. Two days off work... [more]
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