go back

Repair of a Torn Diaphragm After Injury

Montana rates for HCPCS 39540

Surgical repair of a hole torn in the diaphragm, the breathing muscle separating the chest from the abdomen, as a result of an injury. Organs from the abdomen push up through the hole and crowd the lung, so they are returned to their proper place and the muscle is closed. It applies to injuries outside the newborn period.

Rates data updated October 2026.

How much does Repair of a Torn Diaphragm After Injury cost?

$2,729

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,729 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,380 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$891 to $1,380
Facility feeThe hospital or surgery center$1,380$1,259 to $1,445

How much rates vary

Facilitymedian $1,380 · 10th to 90th $955 to $1,585Professionalmedian $1,349 · 10th to 90th $79 to $1,479
$100$200$500$1K$2Kfacility $1,380professional $1,349

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$933.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,584.89
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,380.38
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,174.90
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,089.30

Where Montana sits

The same service costs 18.4 times more in Maine than in Maryland. 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

Montana· 26th of 51

$2,729

$1,349 physician + $1,380 facility

ME $27,505MD $1,496

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.