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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 July 2026.

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

$19,953

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $14,454 to $25,704.

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 $19,953 · 10th to 90th $11,482 to $29,512
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $19,953

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
$12,302.69
Median
$20,417.38
Typical High
$29,512.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$21,877.62
Typical High
$34,673.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$28,840.32
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$22,908.68
Typical High
$28,183.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,915.35
Typical High
$54,954.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,952.62
Typical High
$29,512.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$13,182.57
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$17,378.01
Typical High
$31,622.78

Where Pennsylvania sits

The same service costs 4.6 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $19,953 · 28th of 51
MT $48,978NM $10,715

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.