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Newborn Diaphragm Hernia Repair

Maine rates for HCPCS 39503

Surgery in a newborn to close a hole in the diaphragm, the sheet of muscle separating the chest from the abdomen. Organs from the abdomen have pushed up through the gap and crowded the developing lung, so they are returned to the abdomen and the opening in the diaphragm is closed.

Rates data updated July 2026.

How much does Newborn Diaphragm Hernia Repair cost?

$7,586

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $7,586 for this service. Most negotiated rates run $6,607 to $9,333.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $20,893 to $29,512Professionalmedian $7,586 · 10th to 90th $5,623 to $11,749
$10K$20Kfacility $22,387professional $7,586

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,888.44
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$22,387.21
Typical High
$29,512.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,943.28
Typical High
$12,302.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$7,943.28
Typical High
$13,489.63
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,888.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$8,709.64
Typical High
$12,022.64

Where Maine sits

The same service costs 3.7 times more in Alaska than in Mississippi. 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.

Maine· 16th of 51

$7,586

AK $19,055MS $5,129

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.