go back

First Stage Repair of Newborn Belly Defect

Washington, DC rates for HCPCS 49610

The first stage of a staged operation to repair an opening in a newborn's abdominal wall through which the intestines and other organs protrude. Coverage is brought over the exposed organs to protect them, and the abdominal wall itself is closed at a later operation once the abdomen can accommodate the organs.

Rates data updated July 2026.

How much does First Stage Repair of Newborn Belly Defect cost?

$794

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $708 to $813.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $813 to $7,762Professionalmedian $776 · 10th to 90th $603 to $955
$1K$2K$5K$10Kfacility $2,138professional $776

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
$812.83
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$812.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,041.74
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,698.24

Where Washington, DC sits

The same service costs 2.5 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.

Washington, DC· 33rd of 51

$794

CA $1,778VT $708

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.