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Emergency Groin Hernia Repair, Premature Infant

South Dakota 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?

$1,445

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,698 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 7 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$1,445$955 to $2,138
FacilityA hospital or hospital-owned outpatient department$1,698$1,122 to $3,162

How much rates vary

Facilitymedian $1,698 · 10th to 90th $891 to $4,898Professionalmedian $1,445 · 10th to 90th $813 to $2,630
$1K$2K$5Kfacility $1,698professional $1,445

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
$933.25
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$2,454.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,344.23

Where South Dakota 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.

South Dakota· 9th of 51

$1,445

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.