How Much Does a Laparoscopic Inguinal Hernia Repair Cost in Missouri?
Lap ing hernia repair init
$6,601Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, a laparoscopic inguinal hernia repair costs about $6,601 in total at a hospital outpatient department or about $3,455 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Missouri averages $410, from $400 to $416 across 3 Medicare localities.
- ✓Your ZIP's wage-adjusted hospital and surgery center 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
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- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
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- ✓Printable PDF download
Missouri Medicare physician rate (2026)
-3.4% vs nationalAverage of 3 localities. Office range $400.33–$416.49.
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 center 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 center.
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 Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What laparoscopic inguinal hernia repair costs at hospitals near you
Everything above is a national average. The hospital you pick in Missouri 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.
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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 center 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 Missouri
Where Missouri ranks for this CPT
CPT 49650 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $416.49 |
| metropolitan kansas city | $413.02 |
| rest of missouri | $400.33 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Laparoscopic Inguinal Hernia Repair and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
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 Missouri
Laparoscopic Inguinal Hernia Repair in other states
Laparoscopic Inguinal Hernia Repair in Missouri: questions
Under 2026 Medicare rates, a laparoscopic inguinal hernia repair costs about $6,601 in total at a hospital outpatient department or about $3,455 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Missouri averages $410, from $400 to $416 across 3 Medicare localities. Enter a ZIP for the exact Missouri locality.
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $16.16 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $82 for the office physician line or $82 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
No. $409.95 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 center. Anesthesia, pathology and other codes billed the same day are extra. Missouri ranks #22 of 51 states on the physician line (3% below the national office rate of $424.19).