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Newborn Diaphragm Hernia Repair

South Carolina 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?

$5,623

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,623$5,495 to $5,888
FacilityA hospital or hospital-owned outpatient department$7,943$5,495 to $15,488

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,677 to $22,909Professionalmedian $5,623 · 10th to 90th $5,370 to $11,749
$50$200$1K$5K$20Kfacility $7,943professional $5,623

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$15,488.17
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,623.41
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$12,589.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,760.83
Typical High
$14,125.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,760.83
Typical High
$12,022.64

Where South Carolina 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.

South Carolina· 46th of 51

$5,623

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.