Laparoscopic Inguinal Hernia Repair Cost in Massachusetts
Lap ing hernia repair init
$6,601Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Massachusetts Medicare physician rate (2026)
+4.1% vs nationalAverage of 2 localities. Office range $425.07–$458.25.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $3,146 on the Medicare allowed amount for laparoscopic inguinal hernia repair. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Massachusetts
Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
What laparoscopic inguinal hernia repair costs at hospitals near you
Everything above is a national average. The hospital you pick in Massachusetts moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Massachusetts
Where Massachusetts ranks for this CPT
CPT 49650 by Massachusetts locality
| Locality | Office |
|---|---|
| metropolitan boston | $458.25 |
| rest of massachusetts | $425.07 |
PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.
Laparoscopic Inguinal Hernia Repair and how Massachusetts is priced
Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.
Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.
This procedure: Laparoscopic inguinal hernia repair fixes a groin hernia, a weakness where abdominal contents bulge through the muscle wall, using a camera and instruments through small incisions, almost always reinforced with surgical mesh. It is a common elective operation chosen when the bulge causes pain or grows. Under general anesthesia the repair takes under an hour for one side, and most patients go home the same day and resume light activity within days.
What Is Laparoscopic Inguinal Hernia Repair?
Laparoscopic inguinal hernia repair fixes a groin hernia, a weakness where abdominal contents bulge through the muscle wall, using a camera and instruments through small incisions, almost always reinforced with surgical mesh. It is a common elective operation chosen when the bulge causes pain or grows. Under general anesthesia the repair takes under an hour for one side, and most patients go home the same day and resume light activity within days.
What Affects the Cost
- –Repairing both sides during one operation, common because the laparoscope can see both groins, is billed with an additional code and raises the fee, though it is cheaper than two separate surgeries.
- –The mesh implant is part of the facility charge and varies by product.
- –Freestanding surgery centers usually beat hospital outpatient departments on the facility fee by a wide margin.
- –General anesthesia is required for laparoscopic repair and is billed separately by time; open repair under local anesthesia can be a cheaper alternative in some patients.
- –Robotic-assisted repair, increasingly common, can carry higher facility charges without a clearly better outcome for routine hernias.
Questions to Ask Before Booking
- 1.Do I need surgery now, or is watchful waiting reasonable for my hernia?
- 2.Will you check and repair the other side too, and how is that billed?
- 3.What is the facility fee difference between the surgery center and hospital options you use?
- 4.Is robotic assistance planned, and does it change what I pay?
- 5.Which mesh will you use and is there any additional charge tied to it?
Other featured procedures in Massachusetts
Laparoscopic Inguinal Hernia Repair in other states
Laparoscopic Inguinal Hernia Repair in Massachusetts: questions
The 2026 Medicare physician office rate for CPT 49650 averages $441.66 across 2 Massachusetts localities, from $425.07 in REST OF MASSACHUSETTS to $458.25 in METROPOLITAN BOSTON. The hospital physician rate averages $441.66. Enter a ZIP for the exact locality.
Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $33.18 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $88 for the office physician line or $88 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.
No. $441.66 is only the physician's share. Adding Medicare's facility payment brings the total to about $6,601 in a hospital outpatient department, or about $3,455 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Massachusetts ranks #43 of 51 states on the physician line (4% above the national office rate of $424.19).