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Emergency Groin Hernia Repair, Premature Infant

New Jersey 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?

$1,148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $8,511 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$1,047$933 to $1,445
FacilityA hospital or hospital-owned outpatient department$8,511$6,026 to $10,715

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,802 to $13,490Professionalmedian $1,047 · 10th to 90th $813 to $2,570
$1K$2K$5K$10Kfacility $8,511professional $1,047

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
$4,365.16
Median
$8,511.38
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,041.74
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$11,481.54
Typical High
$17,782.79
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$2,089.30

Where New Jersey 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.

New Jersey· 28th of 51

$1,148

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.