Surgery · procedure code 49505

Hernia repair cost in Virginia

Lake of the Woods, VA has 34 filings for Inguinal hernia repair. We need 100 before we will publish a market figure, so this page shows Virginia instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.

State market

Hernia repair

VA · procedure code 49505

Statewide· n=45,433Pooled filings, payers not identified

We do not have a publishable distribution for Lake of the Woods, VA, so this is the VA market instead. The label above says so on purpose.

Medicare
$518
25th
$622
Median
$933
75th
$1,279
90th
$51825th
$622Median
$93375th
$1,27990th
$485Medicare

Middle price

$622

Half of this market is above it, half below

Middle half spans

$518 to $933

1.8x from low to high

The expensive end

$1,279

What the priciest providers charge

Medicare reference · Virginia (nearest published locality)

$485

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $518 to $933, a 1.8x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

Medicare pays $485 for this service at its Virginia locality. We do not turn that into a percentage here, because the price above is Virginia and that Medicare figure is one locality inside it. Two different maps do not divide.

The expensive end

One in ten filings sits at or above $1,279. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

Hernia repair across other markets.

Local · metro5 of 6 measured locally
MarketLow endMiddleHigh endProvidersBasis
Virginia this page$518$622$93345,433Statewide
Virginia Beach, VA$473$622$8889,850Local · metro
Richmond, VA$502$622$9338,320Local · metro
Roanoke, VA$504$789$1,0872,703Local · metro
Charlottesville, VA$622$811$1,2973,199Local · metro
Lynchburg, VA$469$622$8061,635Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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