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Emergency Groin Hernia Repair, Premature Infant

Georgia rates for HCPCS 49492

This service repairs a groin (inguinal) hernia in a very young or premature infant whose hernia has become trapped and cannot be pushed back in on its own. Because a trapped hernia can cut off blood flow to the trapped tissue, this repair is done urgently rather than on a scheduled basis. It corrects the hernia during the infant's earliest weeks of life.

Rates data updated July 2026.

How much does Emergency Groin Hernia Repair, Premature Infant cost?

$1,288

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $4,365 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$1,148$955 to $1,622
FacilityA hospital or hospital-owned outpatient department$4,365$1,820 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $977 to $8,710Professionalmedian $1,148 · 10th to 90th $891 to $2,042
$1K$2K$5K$10K$20Kfacility $4,365professional $1,148

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
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,162.28
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,398.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$549.54
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$2,344.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,466.84
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,089.30

Where Georgia sits

The same service costs 2.6 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.

Georgia· 19th of 51

$1,288

CA $2,455KY $955

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.