Hernia Procedures Except Inguinal and Femoral with Major Complications — what U.S. hospitals charge
MS-DRG 353 · Inpatient stay · 6 U.S. hospitals publish a price
Cheapest quarter
under $157,996
Typical charge
$193,712
Dearest quarter
over $237,193
Actually paid
$35,884
The middle U.S. hospital bills $193,712 for Hernia Procedures Except Inguinal and Femoral with Major Complications. The dearest hospitals charge about 1.8x what the cheapest do for the same coded work. Medicare actually paid about $35,884 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Where Hernia Procedures Except Inguinal and Femoral with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$120,981 | $43,183 |
|
Cleveland Clinic
Cleveland, OH |
$154,196 | $32,854 |
|
Aurora St Lukes Medical Center
Milwaukee, WI |
$169,395 | $29,742 |
|
New York-Presbyterian Hospital
New York, NY |
$218,029 | $38,075 |
|
Adventhealth Orlando
Orlando, FL |
$243,581 | $22,939 |
|
Nyu Langone Hospitals
New York, NY |
$255,932 | $48,513 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Nyu Langone Hospitals
New York, NY |
$255,932 | $48,513 |
|
Adventhealth Orlando
Orlando, FL |
$243,581 | $22,939 |
|
New York-Presbyterian Hospital
New York, NY |
$218,029 | $38,075 |
|
Aurora St Lukes Medical Center
Milwaukee, WI |
$169,395 | $29,742 |
|
Cleveland Clinic
Cleveland, OH |
$154,196 | $32,854 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$120,981 | $43,183 |
Questions people ask
What do U.S. hospitals charge for Hernia Procedures Except Inguinal and Femoral with Major Complications?
Across 6 U.S. hospitals, the middle charge for Hernia Procedures Except Inguinal and Femoral with Major Complications is $193,712. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $157,996 and the dearest quarter over $237,193.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Hernia Procedures Except Inguinal and Femoral with Major Complications, the hospitals in the dearest tenth charge about 1.8x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $35,884 is roughly what Medicare actually paid per case, against an average charge of $190,767. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 353: “HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.