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Repair of a Long-Standing Diaphragm Tear

New Mexico 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?

$2,521

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,521 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $1,318 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$955 to $1,445
Facility feeThe hospital or surgery center$1,318$603 to $6,761

How much rates vary

Facilitymedian $1,318 · 10th to 90th $537 to $251,189Professionalmedian $1,202 · 10th to 90th $741 to $1,778
$100$1K$10K$100Kfacility $1,318professional $1,202

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
$891.25
Median
$1,000.00
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$954.99
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$275.42
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,348.96
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,412.54
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,380.38
Typical High
$2,187.76

Where New Mexico 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

New Mexico· 33rd of 51

$2,521

$1,202 physician + $1,318 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.