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Emergency Groin Hernia Repair, Premature Infant

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,660 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 5 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$1,259$933 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,660$1,318 to $1,738

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,096 to $2,188Professionalmedian $1,259 · 10th to 90th $891 to $2,455
$100$200$500$1K$2K$5K$10Kfacility $1,660professional $1,259

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
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$2,884.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,995.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,344.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,513.56
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,995.26

Where Montana 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.

Montana· 11th 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.