go back

Hernia Procedures Except Inguinal and Femoral (with MCC)

Pennsylvania rates for MS-DRG 353

Hernia Procedures Except Inguinal and Femoral with MCC

Rates data updated July 2026.

How much does Hernia Procedures Except Inguinal and Femoral (with MCC) cost?

$43,652

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $30,200 to $54,954.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $24,547 to $64,565
$10K$20K$50Kfacility $43,652

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$43,651.58
Typical High
$66,069.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$54,954.09
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$61,659.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$61,659.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$47,863.01
Typical High
$66,069.34
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$52,480.75
Typical High
$64,565.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$43,651.58
Typical High
$64,565.42
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$27,542.29
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$37,153.52
Typical High
$67,608.30

Where Pennsylvania sits

The same service costs 3.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 29th of 51

$43,652

NY $75,858MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.