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Groin Hernia Repair, Premature Newborn

South Dakota 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?

$1,202

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,230 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 7 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$1,175$724 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,230$891 to $1,950

How much rates vary

Facilitymedian $1,230 · 10th to 90th $724 to $4,365Professionalmedian $1,175 · 10th to 90th $661 to $2,239
$1K$2K$5K$10Kfacility $1,230professional $1,175

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
$776.25
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,202.26
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$1,949.84

Where South Dakota 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.

South Dakota· 9th of 51

$1,202

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.