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Groin Hernia Repair, Premature Newborn

Montana 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?

$1,072

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,380 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$871$759 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,380$1,122 to $1,479

How much rates vary

Facilitymedian $1,380 · 10th to 90th $912 to $2,291Professionalmedian $871 · 10th to 90th $708 to $1,995
$100$1K$10K$100Kfacility $1,380professional $871

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
$707.95
Median
$758.58
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,258.93
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,659.59

Where Montana 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.

Montana· 20th of 51

$1,072

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.