How Much Does an Open Inguinal Hernia Repair Cost in Nevada?
Prp i/hern init reduc >5 yr
$4,166Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an open inguinal hernia repair costs about $4,166 in total at a hospital outpatient department or about $2,252 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Nevada averages $497.
- ✓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
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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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Nevada Medicare physician rate (2026)
-2.2% vs nationalSingle statewide locality.
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 $1,914 on the Medicare allowed amount for open 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 Nevada
Enter a ZIP code for your area, whether the Las Vegas Valley and Henderson, Reno-Sparks, Carson City, or rural stretches like Elko and the central basin towns.
What open inguinal hernia repair costs at hospitals near you
Everything above is a national average. The hospital you pick in Nevada 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.
For example 88901.
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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 Nevada
Where Nevada ranks for this CPT
Open Inguinal Hernia Repair and how Nevada is priced
Nevada's Medicare rates flow from a single statewide locality with adjustments a little above the national midpoint, shaped mostly by Las Vegas wage and cost levels. Clark County holds nearly three quarters of the state's population, so the statewide factors largely mirror the Las Vegas economy, with Reno and the rural counties along for the ride. A procedure in Elko is approved at the same amount as one on the Strip's doorstep. The gap between that uniform pricing and Nevada's very uneven provider supply is what patients notice most.
Nevada has long ranked among the states with the fewest physicians per resident, and the shortage is sharpest in specialties, so waits and travel are common even in Las Vegas. Reno serves the north and pulls some patients from rural Nevada and eastern California. Many rural Nevadans cross into Utah, Arizona, or California for procedures, and complex cases are often referred to Los Angeles, Phoenix, or Salt Lake City.
This procedure: Open inguinal hernia repair fixes a groin hernia through a single incision a few inches long over the bulge. The surgeon pushes the bulging tissue back into place and reinforces the weak spot in the abdominal wall, usually with a piece of surgical mesh. It is one of the most common operations in the United States, it can often be done under local anesthesia with sedation rather than general anesthesia, and most patients go home the same day.
What Is Open Inguinal Hernia Repair?
Open inguinal hernia repair fixes a groin hernia through a single incision a few inches long over the bulge. The surgeon pushes the bulging tissue back into place and reinforces the weak spot in the abdominal wall, usually with a piece of surgical mesh. It is one of the most common operations in the United States, it can often be done under local anesthesia with sedation rather than general anesthesia, and most patients go home the same day.
What Affects the Cost
- –The type of anesthesia matters: local anesthesia with sedation is usually billed for less than general anesthesia.
- –Repairing both sides in the same operation is billed with a bilateral modifier and raises the surgeon's fee, although it costs less than two separate operations.
- –A hernia that is trapped (incarcerated) or has lost its blood supply (strangulated) uses a different, higher-paying code and can need emergency admission.
- –Surgery centers usually charge a much lower facility fee than hospital outpatient departments for the same repair.
- –The mesh is part of the facility payment rather than billed by the surgeon.
Questions to Ask Before Booking
- 1.Will this be an open or a laparoscopic repair, and why that approach for me?
- 2.Can it be done under local anesthesia with sedation?
- 3.Is the surgery booked at a surgery center or a hospital, and what is the facility fee at each?
- 4.If you find a hernia on the other side, will you repair it, and how is that billed?
- 5.Which follow-up visits are included in the surgeon's fee?
Other featured procedures in Nevada
Open Inguinal Hernia Repair in other states
Open Inguinal Hernia Repair in Nevada: questions
Under 2026 Medicare rates, an open inguinal hernia repair costs about $4,166 in total at a hospital outpatient department or about $2,252 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Nevada averages $497. Nevada is a single Medicare locality, so the physician rate is the same statewide.
Not on the physician fee schedule. Nevada uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $99 for the office physician line or $99 for the hospital physician line in Nevada. Medigap may cover that 20%. This is not the hospital facility fee.
No. $496.77 is only the physician's share. Adding Medicare's facility payment brings the total to about $4,166 in a hospital outpatient department, or about $2,252 at an ambulatory surgery center. Anesthesia, pathology and other codes billed the same day are extra. Nevada ranks #27 of 51 states on the physician line (2% below the national office rate of $508.03).