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Emergency Groin Hernia Repair, Premature Infant

Michigan 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?

$1,072

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $4,898 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$1,072$933 to $1,318
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $5,754

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,230 to $7,943Professionalmedian $1,072 · 10th to 90th $851 to $1,905
$1K$2K$5K$10Kfacility $4,898professional $1,072

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
$1,230.27
Median
$5,754.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$2,238.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,951.21
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,513.56
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,754.40
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,659.59

Where Michigan 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.

Michigan· 36th of 51

$1,072

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.