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Emergency Groin Hernia Repair, Premature Infant

Missouri 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?

$1,380

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $4,169 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 $1,413
FacilityA hospital or hospital-owned outpatient department$4,169$2,512 to $5,888

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,479 to $8,913Professionalmedian $1,096 · 10th to 90th $871 to $2,754
$1K$2K$5K$10Kfacility $4,169professional $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
$1,778.28
Median
$4,466.84
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$9,332.54
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,318.26
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,995.26

Where Missouri 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.

Missouri· 13th of 51

$1,380

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.