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Repair Of A Tear In The Diaphragm

West Virginia rates for HCPCS 39501

Stitches closed a tear in the diaphragm, the sheet of muscle that separates the chest from the abdomen and drives breathing. Tears usually follow a severe injury such as a car crash, a fall from height, or a stab wound. Repairing the tear stops abdominal organs from pushing up into the chest and crowding the lung.

Rates data updated October 2026.

How much does Repair Of A Tear In The Diaphragm cost?

$1,809

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,809 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $661 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,148$871 to $2,042
Facility feeThe hospital or surgery center$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $1,413Professionalmedian $1,148 · 10th to 90th $708 to $2,512
$50$100$200$500$1K$2K$5Kfacility $661professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$891.25
Typical High
$891.25
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,318.26
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$977.24
Typical High
$2,041.74

Where West Virginia sits

The same service costs 18.1 times more in Maine than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 45th of 51

$1,809

$1,148 physician + $661 facility

ME $27,451AR $1,513

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.