Average Cost of Hernia Surgery Without Insurance

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 often recommended for hernias that cause symptoms or complications, but not all hernias require immediate surgery.

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?

Inguinal hernias are the most common type of hernia, making up about 70% of all hernia cases.

This is called an inguinal hernia, which can be repaired through laparoscopic or open surgery.

The cost of hernia surgery without insurance typically ranges widely, but patients should expect potential costs, including surgeon’s fees, anesthesia, and facility fees, which can collectively range from approximately $4,000 to over $11,000 or more depending on complexity and location.

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 umbilical hernia repair without insurance can range but is generally in the ballpark of $4,000 to $11,000, with variations based on surgical approach, hospital charges, and any additional treatments required.

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.

Additional Costs

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.

Recovery time after open hernia surgery varies; many patients can return to light activities within 3 to 6 weeks, but full recovery may take longer.

However, if patients handle heavier tasks such as manual labor, they must wait 3-12 weeks before resuming work.

Recovery time after laparoscopic hernia surgery typically allows patients to return to light activities within 1 to 2 weeks, but full recovery and return to heavier tasks vary by individual. For those handling heavier tasks, a waiting period of 2-4 weeks should suffice.

The Family Medical Leave Act (FMLA) allows eligible employees to take unpaid, job-protected leave for specified family and medical reasons.

That said, employers do not need to pay their employees beyond sick leave and accrued vacation time during recovery.

Price Cuts

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 from a hernia to a surgeon specializing in it.

It is the patient’s job to check the surgeon’s licensing and accreditation. They can do this online or physically.

A truss may temporarily manage symptoms for certain types of hernias, but its use should be under medical advice, as it may not be appropriate for all hernias.

A truss may provide symptom relief for some hernia patients but does not cure the hernia and is not a substitute for surgical treatment when recommended by a doctor.

A pharmacist can always help patients get the right fit, but you need to keep in mind that the truss also costs money, and you would have to part with between $15 and $110 for one.

Final Thoughts

Hernia repair surgery is not cheap; patients usually get a replacement 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.

Aftercare costs must also 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.

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Current Version
April 1, 2024
Updated By
Andrea Morales G.
November 21, 2021
Written By
Shubham Grover

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