This price includes:. To assist with the cost of surgery, we will be happy to discuss financing or other payment arrangements that can help make hernia repair affordable for virtually any budget. In all cases, our hernia surgery cost is very competitive with other physicians. To obtain a personalized hernia surgery price quote, you can either call our office to schedule an appointment with our doctors, or first complete our free online consultation.
After submitting the online form, one of our physicians will call to discuss your hernia with you at no charge. Insurance companies typically cover the cost of the consultation for those who have healthcare coverage, and patients who are uninsured can be seen for an affordable cash price. During the consultation, you will first be interviewed by a nurse. Afterwards, you will be examined by either Dr. David Albin or Dr. Sign In. Early Detection Is the Best Protection. Find Hernia Repair - Open - All Types providers near you Search board-certified providers, compare prices, buy online, and save money.
Agee, Neal, MD. Hayes, Rachael, MD. View All. Browse Providers in these Locations. New Jersey. This page provides a quick, at-a-glance reference for the Femoral or Inguinal Hernia Repair episode-based cost measure specifications. More details on each component can be found in Appendix A, and the full list of codes and logic used to define each component can be found within the Measure Codes List file. This section contains the technical details for the two overarching processes in calculating episode-based cost measure scores in more detail: Sections A.
The steps for defining an episode for the Femoral or Inguinal Hernia Repair episode group are as follows:. Once a Femoral or Inguinal Hernia Repair episode is triggered, the episode is placed into one of the episode sub-groups to enable meaningful clinical comparisons. Sub-groups represent more granular, mutually exclusive patient populations defined by clinical criteria e.
Sub-groups are useful in ensuring clinical comparability so that the corresponding cost measure fairly compares clinicians with a similar patient case-mix. This cost measure has two sub-groups:. Once an episode has been triggered and defined, it is attributed to one or more clinicians of a specialty that is eligible for MIPS.
Only clinicians of a specialty that is eligible for MIPS or clinician groups where the triggering clinician is of a specialty that is eligible for MIPS are attributed episodes.
The steps for attributing a Femoral or Inguinal Hernia Repair episode are as follows:. Future attribution rules may benefit from the implementation of patient relationship categories and codes. As required by section f of MACRA, CMS will consider how to incorporate the patient relationship categories into episode-based cost measurement methodology as clinicians and billing experts gain experience with them.
Assigned services may include treatment and diagnostic services, ancillary items, services directly related to treatment, and those furnished as a consequence of care e. Unrelated services are not assigned to the episode. For example, the cost of care for a chronic condition that occurs during the episode but is not related to the clinical management of the patient relative to the femoral or inguinal hernia repair surgery would not be assigned.
While several sources are available, only a limited number can provide accurate, meaningful and useful data. A few of these references are provided at the end of this article. Two references are available based upon the results of Socioeconomic Monitoring System surveys. As this information is based on survey results, there is inherent variation in some of data that will be apparent to the reader in the review of these materials. The following data from these references regarding general surgeons was utilized in the analysis that follows:.
On average, On average, the physician works The average general surgeon performs 9. The distribution of general surgeons by employment status revealed that This would require As each physician works an average of In other words, an average of 1. This does not account for the appropriate remuneration for the cost of the physician's time and expertise. This would represent Table 9 illustrates these calculations above and for those surgeons with larger portions of their practices related to the repair of open inguinal hernias alone.
It is realized that the average general surgeon performs inguinal as well as ventral hernia repairs. The above relates to the unrealistic assumption that only inguinal hernioplasties are performed. Consequently, this would translate into a volume of At the This table illustrates the number of open inguinal and ventral hernioplasties that the practicing general surgeon must perform during an average week to break even.
As noted earlier, no valuation of the surgeon's time and expertise is made in this analysis. The data from the survey and from the AMA's Center for Health Policy Research can also be approached from a profit-center analysis rather than that of a cost-center analysis. The average number of procedures excluding assists performed per week is 9. The reader will recall that the average year has This amounts to The average profit per case can then be calculated by subtracting the average cost from the average reimbursement.
The allocation is further delineated into the open inguinal and open ventral repair components. For the inguinal hernioplasties to generate this amount of profit requires The amount for the ventral component is This requires that the surgeon performs 6.
Table 11 outlines the profit analysis performed above for the differing percentages of practice volume dedicated to herniology. This represents the amount of profit per operation that is necessary to achieve the average amount of annual income noted by the AMA's Center for Health Policy Research.
This calculation is verified by comparing the total income realized annually to the income found in the AMA survey. This will apply to all surgical procedures regardless of the percent of herniology practiced.
From the prior averages of reimbursement Table 8 , the amount of gain or loss can be calculated. For the Medicare allowable amounts, these figures are even more disconcerting. This analysis is most distressing. The profit-based analysis requires a larger number of procedures to be performed than the cost-based analysis at best. The profit necessary to achieve the average income of the general surgeon is impossible to realize given the pricing structure that exists today.
Indeed, the repair of a hernia never results in a positive impact on the income of the surgeon if the profit analysis is applied. The authors would be remiss in not acknowledging the fact that the analysis above can be subjected to numerous criticisms. The mathematical exercises and business concepts, however, are considered relevant. The authors are aware of several comments that are justified if one is to critically evaluate these data as shown.
We would be less than candid if the most significant of these issues were not discussed. The methodology employed in the collection of the survey from the membership of the American Hernia Society certainly could be considered biased. The fact that one is a member of specialty society predicts certain data flaws. Additionally, despite an extensive effort, the authors have been unable to identify any other private source that could have provided the fee and reimbursement data that was used above.
The wording of the questions in the AHS survey were not subjected to any intense analysis by a third party. A few of these questions eg, questions 4 and 5 were either vague or difficult for the reader to interpret. This was unintentional and unfortunate. This did not appear to affect the fee and reimbursement data.
These latter questions were purposefully kept limited. Additionally, no attention was given to bilateral inguinal hernias, recurrent or other types of abdominal wall hernias.
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