Quanto Custa Correção de hérnia (Inguinal)?
Inguinal hernia repair is a surgical procedure to fix a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles. It can be performed as open surgery or laparoscopically using mesh reinforcement.
Sem Seguro
$10,000
Com Seguro
$2,000
Medicare
$1,500
Média Nacional
$4,500
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Visão geral
Hernia repair closes a weakness in the abdominal wall through which tissue (usually bowel or fat) has protruded. Inguinal (groin) hernias are the most common type; umbilical, incisional, ventral, and hiatal hernias are each billed with their own CPT codes. Most repairs today use mesh to reinforce the defect and reduce recurrence. Three main approaches exist: open repair (a traditional incision over the hernia), laparoscopic repair (several small incisions), and robotic-assisted laparoscopic repair. Laparoscopic and robotic approaches typically offer faster recovery but cost more due to equipment and longer anesthesia. Most repairs are outpatient, under general or regional anesthesia, and last 45 to 90 minutes. Complex, recurrent, or very large hernias may require inpatient stay and more specialized techniques (component separation, biologic mesh). Elective repair is generally preferred over waiting for an emergency — incarcerated or strangulated hernias trigger urgent surgery with higher cost.
O que afeta o custo
- Hernia type and size: simple unilateral inguinal repair is the cheapest; large ventral, incisional, or bilateral hernias cost substantially more.
- Surgical approach: open repair is usually cheapest; laparoscopic adds equipment charges; robotic-assisted adds a robotics-platform facility fee.
- Mesh type: standard synthetic polypropylene mesh is inexpensive; biologic or specialty composite meshes for complex cases cost far more.
- Site of service: ambulatory surgery centers are cheaper than hospital outpatient; inpatient admission (for complex cases) is most expensive.
- Anesthesia: general anesthesia is standard; local-only repair for select inguinal hernias is cheaper but less common.
- Emergency vs elective: incarcerated or strangulated hernias require urgent surgery with higher facility and length-of-stay charges.
Como Economizar
- Schedule elective repair at an ambulatory surgery center if you are a healthy outpatient candidate.
- Ask your surgeon whether open repair under local or regional anesthesia is appropriate for your specific hernia; it's the least expensive approach.
- Confirm mesh type with your surgeon — standard synthetic mesh is clinically adequate for most cases and far cheaper than biologic.
- Verify prior authorization is on file with your insurer; unauthorized surgery can be denied.
- Check that the surgeon, anesthesiologist, and facility are all in-network.
- Time elective surgery after your deductible is met and use HSA or FSA dollars for the remaining out-of-pocket portion.
Notas sobre seguro e cobertura
Medicare Part A covers inpatient hernia repair; Medicare Part B covers the surgeon, anesthesia, and outpatient cases. Commercial plans cover medically necessary hernia repair and almost always require prior authorization for elective cases. Coverage is routine when a hernia is symptomatic; asymptomatic hernias are sometimes challenged, though most payers still cover elective repair. Patients owe deductible and coinsurance; out-of-pocket maximums are frequently reached for this episode. Mesh materials, robotic-platform fees, and anesthesia are included in the facility billing. Medicare Advantage plans may impose step therapy or site-of-service limits.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $7,200 to $13,800 · 50 states shown
Custo por Estado
| Estado | Sem Seguro | Com Seguro | Medicare |
|---|---|---|---|
| Mississippi | $7,200 | $1,450 | $1,100 |
| Arkansas | $7,500 | $1,500 | $1,150 |
| West Virginia | $7,500 | $1,500 | $1,150 |
| Alabama | $7,800 | $1,550 | $1,150 |
| Oklahoma | $7,800 | $1,550 | $1,150 |
| Kentucky | $8,500 | $1,700 | $1,300 |
| Louisiana | $8,600 | $1,700 | $1,300 |
| Iowa | $8,800 | $1,750 | $1,300 |
| New Mexico | $8,800 | $1,750 | $1,300 |
| South Carolina | $8,800 | $1,750 | $1,300 |
| South Dakota | $8,800 | $1,750 | $1,300 |
| Kansas | $8,900 | $1,800 | $1,350 |
| North Dakota | $8,900 | $1,800 | $1,350 |
| Idaho | $9,000 | $1,800 | $1,350 |
| Nebraska | $9,000 | $1,800 | $1,350 |
| Tennessee | $9,000 | $1,800 | $1,350 |
| Indiana | $9,300 | $1,850 | $1,400 |
| Missouri | $9,300 | $1,850 | $1,400 |
| Utah | $9,300 | $1,850 | $1,400 |
| Wyoming | $9,300 | $1,850 | $1,400 |
| Georgia | $9,400 | $1,900 | $1,400 |
| North Carolina | $9,400 | $1,900 | $1,400 |
| Michigan | $9,500 | $1,900 | $1,450 |
| Montana | $9,500 | $1,900 | $1,450 |
| Arizona | $9,800 | $1,950 | $1,450 |
| Ohio | $9,800 | $1,950 | $1,450 |
| Wisconsin | $9,800 | $1,950 | $1,450 |
| Maine | $9,900 | $2,000 | $1,500 |
| Texas | $9,900 | $2,000 | $1,500 |
| Florida | $10,100 | $2,000 | $1,500 |
| Minnesota | $10,100 | $2,000 | $1,500 |
| Illinois | $10,300 | $2,050 | $1,550 |
| Pennsylvania | $10,300 | $2,050 | $1,550 |
| Delaware | $10,400 | $2,100 | $1,550 |
| Nevada | $10,400 | $2,100 | $1,550 |
| Vermont | $10,400 | $2,100 | $1,550 |
| Virginia | $10,400 | $2,100 | $1,550 |
| Colorado | $10,600 | $2,100 | $1,600 |
| New Hampshire | $10,600 | $2,100 | $1,600 |
| Oregon | $10,600 | $2,100 | $1,600 |
| Maryland | $11,000 | $2,200 | $1,650 |
| Rhode Island | $11,100 | $2,200 | $1,650 |
| Washington | $11,100 | $2,200 | $1,650 |
| Connecticut | $12,000 | $2,400 | $1,800 |
| New Jersey | $12,000 | $2,400 | $1,800 |
| California | $13,200 | $2,650 | $2,000 |
| Massachusetts | $13,300 | $2,650 | $2,000 |
| Alaska | $13,500 | $2,700 | $2,050 |
| New York | $13,500 | $2,700 | $2,050 |
| Hawaii | $13,800 | $2,750 | $2,050 |
Perguntas Frequentes
Quanto custa correção de hérnia (inguinal) sem seguro?
O custo médio de correção de hérnia (inguinal) sem seguro nos Estados Unidos é $10,000. Os custos variam significativamente por estado.
O seguro cobre correção de hérnia (inguinal)?
A maioria dos planos de seguro de saúde cobre correção de hérnia (inguinal) quando medicamente necessário. Com seguro, o custo médio do próprio bolso é $2,000.
O Medicare cobre correção de hérnia (inguinal)?
O Medicare Parte B geralmente cobre correção de hérnia (inguinal) quando prescrito por um médico. O valor médio aprovado pelo Medicare é $1,500.
Revisado por Elena Bellini · Última revisão: 2026-04-21
Dados obtidos de CMS Medicare Provider Utilization and Payment Data 2025. Última atualização: 2026-03-01. Esta informação é apenas para fins educacionais e não constitui aconselhamento médico. Este site é apenas para fins informativos e não constitui aconselhamento médico. Consulte sempre um profissional de saúde qualificado.