go back

Emergency Groin Hernia Repair, Premature Infant

Pennsylvania 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?

$1,047

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,047 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 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$1,000$912 to $1,148
FacilityA hospital or hospital-owned outpatient department$6,026$2,630 to $7,762

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,047 to $8,511Professionalmedian $1,000 · 10th to 90th $851 to $1,549
$1K$2K$5K$10Kfacility $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
$1,148.15
Median
$6,165.95
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,905.46
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,621.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,370.32
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$2,398.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$2,041.74
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,905.46
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,819.70

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$1,047

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.