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First Stage Repair of Newborn Belly Defect

Georgia 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?

$912

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $3,890 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$832$692 to $1,175
FacilityA hospital or hospital-owned outpatient department$3,890$1,549 to $5,754

How much rates vary

Facilitymedian $3,890 · 10th to 90th $692 to $8,710Professionalmedian $832 · 10th to 90th $646 to $1,445
$500$1K$2K$5K$10Kfacility $3,890professional $832

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
$1,047.13
Median
$4,570.88
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,467.37
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,862.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$588.84
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,621.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,513.56

Where Georgia 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.

Georgia· 17th of 51

$912

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.