Hernia procedures except inguinal and femoral with complications
What 73 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral with complications (DRG 354), from 2024 Medicare claims.
Average charge
$98,349
Hospital list price billed
Average payment
$19,616
Medicare + patient + other payers
Medicare paid
$13,970
Average per stay
Volume
1,272
Medicare hospital stays
Hospitals in the U.S. billed an average of $98,349 for hernia procedures except inguinal and femoral with complications, about 5.0 times the average total payment of $19,616.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $19,616Billed $98,349
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Methodist Hospital,TheHouston, TX | $16,226 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $16,323 |
| St Francis Hospital, RoslynRoslyn, NY | $16,761 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $16,893 |
| Ohio State University HospitalsColumbus, OH | $17,553 |
| Clarian Health PartnersIndianapolis, IN | $18,174 |
| Cleveland Clinic - Main CampusCleveland, OH | $19,118 |
| Barnes Jewish HospitalSt Louis, MO | $20,074 |
| Massachusetts General HospitalBoston, MA | $21,798 |
| Brigham and Women's HosptialBoston, MA | $23,463 |
Highest
| UCSF Medical CenterSan Francisco, CA | $30,698 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $26,729 |
| Mayo ClinicJacksonville, FL | $25,618 |
| NYU Hospitals CenterNew York, NY | $24,664 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $23,759 |
| Brigham and Women's HosptialBoston, MA | $23,463 |
| Massachusetts General HospitalBoston, MA | $21,798 |
| Barnes Jewish HospitalSt Louis, MO | $20,074 |
| Cleveland Clinic - Main CampusCleveland, OH | $19,118 |
| Clarian Health PartnersIndianapolis, IN | $18,174 |
Hernia procedures except inguinal and femoral with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 1 | $113,096 | $18,804 | – |
| Arizona | 2 | $95,220 | $23,234 | $20,162 – $25,111 |
| California | 4 | $218,947 | $26,379 | $20,386 – $32,306 |
| Colorado | 1 | $92,311 | $19,085 | – |
| Connecticut | 2 | $71,017 | $22,028 | $19,291 – $24,766 |
| Florida | 3 | $121,943 | $19,561 | $16,323 – $25,618 |
| Illinois | 3 | $85,853 | $18,252 | $17,665 – $18,606 |
| Indiana | 2 | $95,751 | $16,819 | $13,483 – $18,174 |
| Iowa | 1 | $51,867 | $12,755 | – |
| Kansas | 1 | $75,109 | $17,325 | – |
| Louisiana | 1 | $71,053 | $10,153 | – |
| Maryland | 1 | $45,345 | $42,298 | – |
| Massachusetts | 4 | $67,085 | $22,769 | $21,798 – $23,583 |
| Michigan | 2 | $73,188 | $18,158 | $15,928 – $20,761 |
| Minnesota | 2 | $71,546 | $22,179 | $13,851 – $23,759 |
| Mississippi | 1 | $39,192 | $11,387 | – |
| Missouri | 2 | $71,119 | $18,527 | $14,791 – $20,074 |
| Nebraska | 3 | $60,370 | $15,184 | $13,731 – $17,559 |
| New Jersey | 2 | $109,150 | $17,229 | $13,734 – $19,851 |
| New York | 5 | $121,731 | $23,896 | $16,761 – $26,729 |
| North Carolina | 3 | $79,380 | $15,721 | $13,730 – $18,594 |
| Ohio | 4 | $74,490 | $17,733 | $10,977 – $19,118 |
| Oklahoma | 1 | $98,588 | $15,006 | – |
| Oregon | 2 | $68,740 | $17,760 | $14,579 – $20,104 |
| Pennsylvania | 4 | $113,969 | $18,177 | $15,623 – $22,354 |
| South Carolina | 1 | $172,441 | $26,623 | – |
| South Dakota | 1 | $77,728 | $14,674 | – |
| Tennessee | 1 | $97,381 | $20,378 | – |
| Texas | 5 | $105,862 | $15,519 | $12,545 – $19,527 |
| Utah | 1 | $45,092 | $18,679 | – |
| Virginia | 4 | $129,511 | $19,697 | $12,465 – $25,363 |
| Washington | 1 | $62,979 | $16,134 | – |
| Wisconsin | 2 | $95,754 | $17,949 | $16,893 – $19,759 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 73 | $77,356 | $19,118 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 58 | $70,030 | $23,759 |
| New York-Presbyterian HospitalNew York, NY | 55 | $127,103 | $26,729 |
| Adventhealth OrlandoOrlando, FL | 33 | $145,611 | $16,323 |
| Clarian Health PartnersIndianapolis, IN | 32 | $115,778 | $18,174 |
| Barnes Jewish HospitalSt Louis, MO | 29 | $62,703 | $20,074 |
| NYU Hospitals CenterNew York, NY | 26 | $158,427 | $24,664 |
| Aurora St Lukes Medical CenterMilwaukee, WI | 24 | $90,319 | $16,893 |
| Brigham and Women's HosptialBoston, MA | 22 | $84,486 | $23,463 |
| UCSF Medical CenterSan Francisco, CA | 21 | $190,475 | $30,698 |
| Ohio State University HospitalsColumbus, OH | 21 | $72,881 | $17,553 |
| Mayo ClinicJacksonville, FL | 20 | $64,731 | $25,618 |
| Massachusetts General HospitalBoston, MA | 20 | $92,806 | $21,798 |
| St Francis Hospital, RoslynRoslyn, NY | 20 | $87,187 | $16,761 |
| Methodist Hospital,TheHouston, TX | 20 | $158,027 | $16,226 |
Questions
How much does hernia procedures except inguinal and femoral with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral with complications (DRG 354) at 73 hospitals in the U.S. was billed at $98,349 on average, while the average total payment was $19,616, of which Medicare paid $13,970. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for hernia procedures except inguinal and femoral with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($26,379), New York ($23,896), Massachusetts ($22,769) and lowest in Nebraska ($15,184), Texas ($15,519), North Carolina ($15,721).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.