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Hernia Procedures Except Inguinal/Femoral (without CC/MCC)

Pennsylvania rates for MS-DRG 355

Hernia Procedures Except Inguinal and Femoral without CC/MCC

Rates data updated October 2026.

How much does Hernia Procedures Except Inguinal/Femoral (without CC/MCC) cost?

$20,417

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $13,490 to $26,303.

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 $20,417 · 10th to 90th $10,715 to $31,623
$5K$10K$20K$50Kfacility $20,417

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$22,387.21
Typical High
$31,622.78
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$22,387.21
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$22,387.21
Typical High
$34,673.69
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$28,840.32
Geisinger
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$19,498.45
Typical High
$28,183.83
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$28,183.83
Typical High
$37,153.52
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$22,387.21
Typical High
$32,359.37
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$21,379.62
United
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$19,952.62
Typical High
$29,512.09

Where Pennsylvania sits

The same service costs 131.8 times more in Alaska than in Hawaii. 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· 25th of 51

$20,417

AK $36,308HI $275

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.