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Infant Groin Hernia Repair, Trapped Hernia

Rhode Island rates for HCPCS 49496

Repairs a groin hernia in a very young infant when the bulging tissue has become stuck outside the abdominal wall and cannot be pushed back, or when its blood supply is being pinched off. The surgeon frees the trapped tissue through an open incision, checks that it is healthy, returns it to the abdomen and closes the weak spot, under general anesthesia. Because trapped tissue can be damaged quickly, this is treated urgently rather than as a planned repair.

Rates data updated July 2026.

How much does Infant Groin Hernia Repair, Trapped Hernia cost?

$759

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $3,802 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 4 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$759$617 to $759
FacilityA hospital or hospital-owned outpatient department$3,802$3,162 to $5,370

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,096 to $7,943Professionalmedian $759 · 10th to 90th $550 to $851
$1K$2K$5K$10Kfacility $3,802professional $759

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
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,348.96

Where Rhode Island sits

The same service costs 3.0 times more in California than in Vermont. 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.

Rhode Island· 28th of 51

$759

CA $1,862VT $631

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.