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Emergency Groin Hernia Repair, Premature Infant

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $3,311 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 $1,950
FacilityA hospital or hospital-owned outpatient department$3,311$2,239 to $4,786

How much rates vary

Facilitymedian $3,311 · 10th to 90th $851 to $6,607Professionalmedian $1,148 · 10th to 90th $851 to $2,884
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $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
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$2,511.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,019.95
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,288.25
Typical High
$2,570.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,862.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$4,570.88
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$2,570.40
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,019.95
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,570.88
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$2,884.03

Where Massachusetts 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.

Massachusetts· 23rd 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.