Hernia Procedures Except Inguinal and Femoral without Complications/mcc — what U.S. hospitals charge
MS-DRG 355 · Inpatient stay · 51 U.S. hospitals publish a price
Cheapest quarter
under $49,165
Typical charge
$66,218
Dearest quarter
over $87,563
Actually paid
$13,007
The middle U.S. hospital bills $66,218 for Hernia Procedures Except Inguinal and Femoral without Complications/mcc. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $13,007 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.
Hernia Procedures Except Inguinal and Femoral without Complications/mcc cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| New Jersey | 3 | $65,218 | $42,891 – $108,489 |
| New York | 5 | $81,165 | $38,122 – $155,296 |
| North Carolina | 3 | $81,188 | $46,083 – $95,767 |
| Texas | 4 | $81,848 | $34,669 – $131,675 |
| Florida | 6 | $89,289 | $51,807 – $152,646 |
| Pennsylvania | 4 | $91,757 | $48,853 – $147,734 |
Where Hernia Procedures Except Inguinal and Femoral without Complications/mcc is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$15,071 | $14,035 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$22,585 | $14,316 |
|
Shannon Medical Center
San Angelo, TX |
$34,669 | $10,007 |
|
Sanford Medical Center Fargo
Fargo, ND |
$35,081 | $11,194 |
|
Beebe Medical Center
Lewes, DE |
$35,370 | $10,769 |
|
St Peter's Hospital
Albany, NY |
$38,122 | $11,600 |
|
Baptist Health Medical Center-Little Rock
Little Rock, AR |
$42,682 | $9,385 |
|
Valley Hospital
Paramus, NJ |
$42,891 | $11,683 |
|
Providence Holy Family Hospital
Spokane, WA |
$43,541 | $11,951 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$46,083 | $11,411 |
|
Prisma Health Hillcrest Hospital
Simpsonville, SC |
$47,703 | $11,035 |
|
Bryan Medical Center
Lincoln, NE |
$48,390 | $10,115 |
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 |
$155,296 | $17,856 |
|
Orlando Health
Orlando, FL |
$152,646 | $14,933 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$147,734 | $17,948 |
|
Adventhealth Orlando
Orlando, FL |
$147,033 | $13,554 |
|
Houston Methodist Willowbrook Hospital
Houston, TX |
$131,675 | $10,861 |
|
Musc Medical Center
Charleston, SC |
$124,358 | $16,597 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$119,471 | $20,496 |
|
Physicians Regional Medical Center - Pine Ridge
Naples, FL |
$112,361 | $9,687 |
|
West Jersey Hospital
Voorhees, NJ |
$108,489 | $10,915 |
|
Penn Presbyterian Medical Center
Philadelphia, PA |
$107,997 | $15,303 |
|
Houston Methodist The Woodlands Hospital
The Woodlands, TX |
$96,383 | $11,375 |
|
Memorial Mission Hospital And Asheville Surgery Ce
Asheville, NC |
$95,767 | $10,625 |
Questions people ask
What do U.S. hospitals charge for Hernia Procedures Except Inguinal and Femoral without Complications/mcc?
Across 51 U.S. hospitals, the middle charge for Hernia Procedures Except Inguinal and Femoral without Complications/mcc is $66,218. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $49,165 and the dearest quarter over $87,563.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 3.3x 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. $13,007 is roughly what Medicare actually paid per case, against an average charge of $75,351. 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 355: “HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/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.