Hernia procedures except inguinal and femoral without complications
What 51 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355), from 2024 Medicare claims.
Average charge
$75,351
Hospital list price billed
Average payment
$13,407
Medicare + patient + other payers
Medicare paid
$10,032
Average per stay
Volume
790
Medicare hospital stays
Hospitals in the U.S. billed an average of $75,351 for hernia procedures except inguinal and femoral without complications, about 5.6 times the average total payment of $13,407.
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 $13,407Billed $75,351
About 18¢ 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
| William Beaumont HospitalRoyal Oak, MI | $12,167 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $12,778 |
| Adventhealth OrlandoOrlando, FL | $13,554 |
| Cleveland Clinic - Main CampusCleveland, OH | $14,475 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,611 |
| New York-Presbyterian HospitalNew York, NY | $17,910 |
Highest
| New York-Presbyterian HospitalNew York, NY | $17,910 |
|---|---|
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,611 |
| Cleveland Clinic - Main CampusCleveland, OH | $14,475 |
| Adventhealth OrlandoOrlando, FL | $13,554 |
| St Francis Hospital, RoslynRoslyn, NY | $12,778 |
| William Beaumont HospitalRoyal Oak, MI | $12,167 |
Hernia procedures except inguinal and femoral without 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 | 2 | $74,701 | $14,752 | $12,194 – $17,128 |
| Arizona | 2 | $60,008 | $12,493 | $10,456 – $13,851 |
| Arkansas | 1 | $42,682 | $9,385 | – |
| Delaware | 1 | $35,370 | $10,769 | – |
| Florida | 6 | $103,713 | $11,746 | $9,686 – $14,933 |
| Georgia | 1 | $64,354 | $12,381 | – |
| Illinois | 2 | $70,284 | $12,888 | $11,701 – $14,298 |
| Indiana | 1 | $78,987 | $13,911 | – |
| Kansas | 1 | $61,230 | $11,885 | – |
| Kentucky | 1 | $62,911 | $10,184 | – |
| Maryland | 1 | $15,071 | $14,035 | – |
| Massachusetts | 2 | $52,919 | $15,338 | $14,316 – $16,088 |
| Michigan | 1 | $56,547 | $12,167 | – |
| Minnesota | 1 | $61,437 | $15,814 | – |
| Missouri | 1 | $49,477 | $14,004 | – |
| Nebraska | 1 | $48,390 | $10,115 | – |
| New Jersey | 3 | $75,323 | $11,898 | $10,915 – $13,206 |
| New York | 5 | $92,032 | $16,361 | $11,600 – $20,496 |
| North Carolina | 3 | $77,935 | $13,782 | $10,625 – $17,611 |
| North Dakota | 1 | $35,081 | $11,194 | – |
| Ohio | 1 | $60,718 | $14,475 | – |
| Pennsylvania | 4 | $95,882 | $13,988 | $10,574 – $17,948 |
| South Carolina | 2 | $92,638 | $14,295 | $11,035 – $16,597 |
| Texas | 4 | $83,396 | $11,380 | $10,007 – $13,278 |
| Virginia | 1 | $79,491 | $13,029 | – |
| Washington | 1 | $43,541 | $11,951 | – |
| Wisconsin | 1 | $91,554 | $13,645 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 43 | $81,165 | $17,910 |
| Cleveland Clinic - Main CampusCleveland, OH | 32 | $60,718 | $14,475 |
| St Francis Hospital, RoslynRoslyn, NY | 29 | $79,105 | $12,778 |
| William Beaumont HospitalRoyal Oak, MI | 21 | $56,547 | $12,167 |
| Adventhealth OrlandoOrlando, FL | 20 | $147,033 | $13,554 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 20 | $81,188 | $17,611 |
| Evanston HospitalEvanston, IL | 19 | $59,095 | $11,701 |
| University HospitalStony Brook, NY | 19 | $119,471 | $20,496 |
| Mayo Clinic HospitalPhoenix, AZ | 18 | $55,080 | $13,851 |
| Anne Arundel Medical CenterAnnapolis, MD | 18 | $15,071 | $14,035 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 17 | $61,437 | $15,814 |
| Barnes Jewish HospitalSt Louis, MO | 17 | $49,477 | $14,004 |
| NYU Hospitals CenterNew York, NY | 17 | $155,296 | $17,856 |
| MUSC Medical CenterCharleston, SC | 17 | $124,358 | $16,597 |
| Beebe Medical CenterLewes, DE | 16 | $35,370 | $10,769 |
Questions
How much does hernia procedures except inguinal and femoral without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355) at 51 hospitals in the U.S. was billed at $75,351 on average, while the average total payment was $13,407, of which Medicare paid $10,032. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($16,361), Pennsylvania ($13,988), North Carolina ($13,782) and lowest in Texas ($11,380), Florida ($11,746), New Jersey ($11,898).
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 5.6 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.