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Emergency Groin Hernia Repair, Premature Infant

New York 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?

$1,318

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $5,129 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 9 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$933 to $1,660
FacilityA hospital or hospital-owned outpatient department$5,129$3,090 to $8,511

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,318 to $12,023Professionalmedian $1,148 · 10th to 90th $832 to $2,884
$500$1K$2K$5K$10Kfacility $5,129professional $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
$1,202.26
Median
$5,248.07
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,862.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$3,548.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,290.87
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$1,995.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,288.25
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$7,762.47
Univera
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$3,388.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,290.87

Where New York 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 York· 17th of 51

$1,318

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.