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Groin Hernia Repair, Premature Newborn

Rhode Island 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?

$977

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $3,715 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 4 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$977$794 to $977
FacilityA hospital or hospital-owned outpatient department$3,715$2,818 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,096 to $10,000Professionalmedian $977 · 10th to 90th $708 to $1,175
$1K$2K$5K$10Kfacility $3,715professional $977

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
$2,818.38
Median
$3,019.95
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$4,365.16
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,737.80

Where Rhode Island 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.

Rhode Island· 27th of 51

$977

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.