go back

First Stage Repair of Newborn Belly Defect

Iowa 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?

$1,096

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,778 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 8 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$977$724 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,778$1,148 to $6,457

How much rates vary

Facilitymedian $1,778 · 10th to 90th $759 to $7,943Professionalmedian $977 · 10th to 90th $617 to $2,570
$500$1K$2K$5K$10Kfacility $1,778professional $977

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
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,548.82
Typical High
$1,949.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,445.44
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,905.46
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$1,621.81

Where Iowa 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.

Iowa· 8th of 51

$1,096

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.