Average Cost of Hernia Surgery without Insurance
When an internal organ in your body, such as the stomach or intestine, bulges through muscle or skin, you end up with what doctors call a hernia.
Usually, this happens suddenly after straining or lifting weak muscles. The actual prevalence of hernias is difficult to determine precisely, but hernias are a common condition. The Cleveland Clinic notes that millions of hernia repairs are performed annually in the United States, though specific figures may vary.
Surgery is necessary to remedy the condition.
If you are wondering how much the procedure would cost you, especially if you are not covered by insurance, keep reading.
What are the Costs Associated with Hernia Surgery?
Most hernias happen in the groin area and when we say that, we are talking about a whopping 70% experiencing this.
This is called an inguinal hernia, which can be repaired through laparoscopic or open surgery.
Cost estimates for hernia surgery without insurance can vary widely based on the hospital, geographic location, and the specific details of the procedure. While some sources may cite average costs for open hernia surgery in the range of $4,200 to $6,200, actual prices can significantly differ.
Those who have coverage will pay coinsurance rates and deductible fees.
Deductibles for health insurance policies vary greatly depending on the plan and insurer. While some surveys may suggest an average deductible, individuals must consult their health insurance policy for accurate deductible amounts.
Coinsurance rates differ across health insurance plans, and the out-of-pocket cost for a patient with insurance undergoing hernia repair surgery can vary. Patients should verify their plan’s coinsurance rates and coverage details to understand their financial responsibility.
The cost of repairing an umbilical hernia without insurance can vary significantly, and while some estimates suggest costs between $4,000 and $11,000, factors such as the surgery center, complexity of the hernia, and additional medical needs can affect the final price.
Some individuals may delay surgery and use a hernia truss temporarily to manage symptoms. The cost of a hernia truss can vary, but it’s important to note that it is generally considered a supportive rather than curative measure.
When a patient decides to get hernia surgery, they also have to consider that aftercare costs must be met.
For instance, they may need pain medication as well as rehabilitation services. They will also have to take some time off from their regular schedule.
A patient with open surgery can start light work two weeks post-surgery.
However, if patients handle heavier tasks such as manual labor, they must wait 3-12 weeks before resuming work.
For laparoscopic surgery, patients must wait a week or two before resuming work but only if they handle light duties. For those handling heavier tasks, a waiting period of 2-4 weeks should suffice.
Of course, the Family Medical Leave Act protects employees from being laid off as they recover from such procedures.
That said, employers do not need to pay their employees beyond sick leave and accrued vacation time during recovery.
Having a hernia surgery is not cheap, especially without insurance coverage but the good news is that most hospitals offer financial aid to low-income individuals and families.
Of course, the aid level varies from facility to facility, so patients may want to factor this in while budgeting for the procedure.
Hernia Repair Necessities
A general or primary care physician will often refer their patient suffering a hernia to a surgeon who specializes in it.
It is the patient’s job to check the surgeon’s licensing and accreditation. They can do this online or physically.
Having a hernia also means purchasing things like a truss. If you decide to delay your surgery, you want to ensure that your truss fits and supports your hernia well.
A truss can offer total relief of hernia symptoms but it will not remedy the condition.
A pharmacist can always help patients with getting the right fit but what you need to keep in mind here is that the truss also costs money and you would have to part with between $15 and $110 for one.
Hernia repair surgery does not come cheap and patients usually get a reprieve through insurance coverage.
Without insurance, paying for the procedure can be exorbitant.
Granted, you can choose to delay the surgery, in which case you would need to use a truss, but that would cost you and you would still need the surgery.
There are also aftercare costs to be considered, so without insurance coverage, you can expect to pay more than $4,200 on the lower side and $11,000 on the higher side.