go back

Emergency Groin Hernia Repair, Premature Infant

Iowa 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?

$1,514

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $5,129 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 8 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$1,318$977 to $1,905
FacilityA hospital or hospital-owned outpatient department$5,129$1,905 to $7,244

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,175 to $8,913Professionalmedian $1,318 · 10th to 90th $832 to $3,548
$1K$2K$5K$10Kfacility $5,129professional $1,318

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
$1,584.89
Median
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,137.96
Typical High
$2,630.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,905.46
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$2,630.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$2,630.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,698.24
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$7,244.36
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,570.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$2,238.72

Where Iowa 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.

Iowa· 8th of 51

$1,514

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.