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Emergency Groin Hernia Repair, Premature Infant

Illinois 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?

$1,202

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $3,236 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$1,096$955 to $1,585
FacilityA hospital or hospital-owned outpatient department$3,236$1,820 to $5,623

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,047 to $9,772Professionalmedian $1,096 · 10th to 90th $851 to $2,455
$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,096

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
$1,047.13
Median
$2,754.23
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,128.61
Typical High
$16,982.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$6,309.57
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$4,570.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,265.80
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$2,089.30

Where Illinois 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.

Illinois· 22nd of 51

$1,202

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.