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First Stage Repair of Newborn Belly Defect

Illinois 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?

$832

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,862 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 6 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$813$692 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,862$1,175 to $5,129

How much rates vary

Facilitymedian $1,862 · 10th to 90th $741 to $7,943Professionalmedian $813 · 10th to 90th $631 to $1,660
$500$1K$2K$5K$10Kfacility $1,862professional $813

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
$741.31
Median
$1,621.81
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$8,128.31
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,513.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$3,388.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,754.23
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,479.11

Where Illinois 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.

Illinois· 26th of 51

$832

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.