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First Stage Repair of Newborn Belly Defect

Massachusetts 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?

$851

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $2,512 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$813$692 to $1,380
FacilityA hospital or hospital-owned outpatient department$2,512$813 to $3,548

How much rates vary

Facilitymedian $2,512 · 10th to 90th $661 to $5,129Professionalmedian $813 · 10th to 90th $631 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $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
$660.69
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,778.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,659.59
Typical High
$4,365.16
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,819.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,348.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$1,778.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,659.59
Typical High
$4,365.16
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,511.89
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,089.30

Where Massachusetts 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.

Massachusetts· 24th of 51

$851

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.