go back

Repair of a Long-Standing Diaphragm Tear

Iowa rates for HCPCS 39541

Repairs a tear in the diaphragm, the sheet of muscle between the chest and abdomen, caused by an earlier injury and found some time after the event rather than at the time of the trauma. Abdominal organs that have pushed up into the chest are brought back down and the defect is closed, with a mesh or patch if the gap is large. Older tears are stiffer and often stuck to surrounding tissue, making the repair more involved.

Rates data updated October 2026.

How much does Repair of a Long-Standing Diaphragm Tear cost?

$4,131

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

Insurers have agreed to pay about $4,131 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $2,089 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$1,413 to $2,291
Facility feeThe hospital or surgery center$2,089$1,349 to $3,020

How much rates vary

Facilitymedian $2,089 · 10th to 90th $603 to $6,607Professionalmedian $2,042 · 10th to 90th $1,000 to $2,884
$100$200$500$1K$2K$5K$10Kfacility $2,089professional $2,042

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
Facility
Modifier
None
Typical Low
$812.83
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,089.30
Typical High
$2,570.40
Hally Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,412.54
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$1,995.26
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$2,041.74
Typical High
$12,882.50
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,137.96
Typical High
$2,570.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$2,884.03
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$2,951.21
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,089.30

Where Iowa sits

The same service costs 17.4 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

Iowa· 16th of 51

$4,131

$2,042 physician + $2,089 facility

ME $27,591MD $1,586

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.