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Emergency Groin Hernia Repair, Premature Infant

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $6,026 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 8 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$1,000$891 to $1,230
FacilityA hospital or hospital-owned outpatient department$6,026$3,162 to $10,233

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,148 to $12,589Professionalmedian $1,000 · 10th to 90th $813 to $1,738
$50$200$1K$5Kfacility $6,026professional $1,000

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
$1,862.09
Median
$8,912.51
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,630.78
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,513.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,202.26
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$2,089.30
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,202.26
Typical High
$1,621.81
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,230.27
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,819.70

Where Ohio 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.

Ohio· 38th 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.