Understanding the factors affecting hospitalization costs in laparoscopic hiatal hernia repair can optimize surgical strategies and patient management.

• Material costs accounted for over 58% of total hospitalization expenses annually.
• Using absorbable sutures instead of tackers significantly reduced costs across all patient cost percentiles (up to $11,671 savings).
• Longer hospital stays raised costs and ICU use primarily impacted lower-cost cases.

Minimizing material expenses and improving discharge efficiency could enhance value without increasing complications.