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Groin Hernia Repair, Premature Newborn

Missouri rates for HCPCS 49491

Surgery to repair an inguinal hernia, a bulge in the groin where tissue pushes through a weak spot in the abdominal wall, in a baby born prematurely and operated on during the newborn period. It covers the situation where the bulge can still be pushed back into place, and a fluid-filled sac around the testicle may be dealt with in the same operation.

Rates data updated July 2026.

How much does Groin Hernia Repair, Premature Newborn cost?

$1,096

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $4,266 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$891$776 to $1,175
FacilityA hospital or hospital-owned outpatient department$4,266$2,512 to $5,888

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,259 to $9,120Professionalmedian $891 · 10th to 90th $724 to $2,042
$1K$2K$5K$10Kfacility $4,266professional $891

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
$1,548.82
Median
$4,265.80
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$9,332.54
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,715.35
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,659.59

Where Missouri sits

The same service costs 2.4 times more in California than in Kentucky. 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.

Missouri· 17th of 51

$1,096

CA $1,905KY $794

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.