Hernia Repair vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Hernia Repair: $11,000 total · Medicare pays $8,800 · Patient pays $2,200
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Hernia Repair | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $11,000 | $150 |
| Medicare Pays | $8,800 | $120 |
| Patient Pays | $2,200 | $30 |
| Category | hospital | physician |
FAQ
What is the cost difference between Hernia Repair and Office Visit (Established Patient)?
Hernia Repair costs $11,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $10,850.
How much does Medicare pay for Hernia Repair vs Office Visit (Established Patient)?
Medicare typically pays $8,800 for Hernia Repair (patient owes $2,200). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Hernia Repair?
Surgical procedure to fix a hernia, where tissue pushes through a weak spot in muscle.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.