Estimate for Hernia Repair - Non-Laparoscopic Turquoise Health

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Virginia Mason Medical Center

Hospital

5.0

1100 Ninth Avenue, Seattle, WA 98101

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SSP GA011

Hernia Repair - Non-Laparoscopic

You'd pay up to

$8,452

The estimated total cost of care without any insurance coverage or discounts.

Check how much your insurance plan could cover.

Add Insurance

Individual treatments can vary, causing costs to change. Use the prices above to estimate your out-of-pocket cost. To verify your out-of-pocket cost, contact your healthcare provider.

How this provider stacks up

$8,451

This provider's rate

Lowest

$1,110

Highest

$8,451

This is this provider's self-pay (cash) rate. See how it compares to rates from other providers in this area.

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Providence Regional Medical Center Everett - Colby Campus

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Hernia Repair - Non-Laparoscopic Overview

A hernia is a weak spot in the wall of a body cavity that allows internal organs to push through. The most common hernias occur in the abdominal wall. An inguinal hernia occurs in the groin region, while a ventral hernia occurs in another part of the abdomen.

Hernioplasty is the surgical repair of a hernia, performed using one of two main approaches. An open (non-laparoscopic) hernia repair involves making a larger incision to allow the surgeon to see and manipulate the tissues directly. In contrast, a laparoscopic hernia repair uses several small incisions through which a light and camera are inserted to provide a view inside the abdomen.

In general, laparoscopic hernioplasty offers a shorter recovery time and a lower risk of complications, making it the preferred approach. However, there are cases where laparoscopic repair may not be suitable. If the bowel is incarcerated or strangulated, an open repair is required. Recurrent or very large hernias are also often addressed with an open procedure.

Hernia recurrence, which occurs when a previously repaired hernia reopens, is relatively common. Approximately 20% of hernias recur within ten years. To reduce the risk of recurrence, mesh is often placed during hernioplasty to strengthen the repaired abdominal wall. These meshes are typically made of flexible synthetic material and remain in place to help prevent the weak spot from reopening.

See the procedures included in this package

This list includes the services and fees bundled into the Hernia Repair - Non-Laparoscopic Standard Service Package (SSP GA011). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code	Code Type	Description
HCPCS 49505	Base Code	Hernia Repair - Non-Laparoscopic
HCPCS 49505	Professional	Hernia Repair - Non-Laparoscopic
RC 0710	Facility	Recovery Room - General
RC 0636	Facility	Pharmacy - Extension of 025X - Drugs requiring detailed coding
RC 0370	Facility	Anesthesia - General
HCPCS J2405	Facility	Intramuscular injection of ondansetron hydrochloride, 1mg
RC 0360	Facility	Operating Room Services - General
HCPCS J3010	Facility	Intramuscular injection of fentanyl citrate, 0.1mg
RC 0250	Facility	Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS J2704	Facility	Intramuscular injection of 10mg propofol
HCPCS J1100	Facility	Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS C1781	Facility	Implantable Medical Device Made of Mesh Material
HCPCS J0690	Facility	Intramuscular injection cefazolin sodium, 500mg
RC 0278	Facility	Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - Other implants
RC 0272	Facility	Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - Sterile
HCPCS J2250	Facility	Intramuscular injection of 1mg midazolam hydrochloride
HCPCS J7120	Facility	Intravenous infusion of 1000cc of ringer's lactate solution
HCPCS J0665	Optional	Injection of numbing medication for pain relief

Your Right to Know (and Save)

The No Surprises Act requires healthcare providers to give you a cost estimate for certain services. We've made it easier by grouping common services into Standard Service Packages (SSPs), so you can see the typical services and costs that are usually bundled together. Here's how to use this estimate to avoid surprise bills and shop around confidently:

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Review this estimate and others nearby to see how costs can vary for the full procedure.

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Ask for a “Good Faith Estimate” and reference the CPT code we provide.

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SSP GA011

Hernia Repair - Non-Laparoscopic

You'd pay up to

$8,452

The estimated total cost of care without any insurance coverage or discounts.

Check how much your insurance plan could cover.

Add Insurance

Individual treatments can vary, causing costs to change. Use the prices above to estimate your out-of-pocket cost. To verify your out-of-pocket cost, contact your healthcare provider.

Frequently asked questions

How can I make the most of the information provided?

Use this information to compare healthcare providers and estimate the price you'll pay (see 'What does the estimated price include?' for more information). We recommend verifying this information directly with your provider.

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No. Our beta search experience currently includes providers for whom we are able to find prices and verify their accuracy (see 'How does Turquoise determine price accuracy?' below for more information). This means there may be other providers available in your area. We are introducing additional providers on a rolling basis. If you don't see a specific provider listed, check back soon.

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Our beta search experience includes a limited set of services, which we are growing all the time. If you can't find what you're looking for,

What does the estimated price include?

Estimated prices include facility fees (charges that cover the overhead costs of running a hospital) and professional fees (charges that cover the costs of services provided by medical professionals like doctors, nurses, or lab technicians).

How does Turquoise determine price accuracy?

Turquoise obtains prices from multiple sources, including provider and insurance published data, as well as historical medical claims.

If you're using insurance...

A price is considered fully verified if it is made available by both the provider and the insurance company, and those prices have low variability. A price is considered partially verified if it is made available by one or the other and can be corroborated by historical medical claims data. Turquoise does not currently publish any rates that don't meet these verification criteria.

If you're not using insurance...

Cash-pay prices can only be retrieved from provider-published data.

I'm using insurance. How do I estimate my out-of-pocket cost vs. what I can expect insurance to cover?

To estimate your out-of-pocket cost, use the calculator tool on the cost breakdown page. We recommend first logging into your insurance portal or contacting them directly to retrieve your up-to-date deductible, out-of-pocket maximum, and service-specific co-pay or co-insurance information.

I enrolled in a government-sponsored healthcare program. Can I use Turquoise to find prices for care?

You should not use Turquoise Health to compare prices if you are enrolled in a Medicare or Medicaid plan. Contact Medicare or your state's Medicaid program directly for more information.