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Newborn Diaphragm Hernia Repair

Vermont 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?

$7,079

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $7,079 to $7,244.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $7,079 · 10th to 90th $6,457 to $9,772
$500$1K$2K$5K$10K$20Kprofessional $7,079

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
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$8,317.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$8,128.31
Typical High
$13,489.63

Where Vermont 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.

Vermont· 18th of 51

$7,079

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.