go back

First Stage Repair of Newborn Belly Defect

Michigan 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?

$776

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $4,898 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$759$692 to $955
FacilityA hospital or hospital-owned outpatient department$4,898$1,905 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $891 to $6,918Professionalmedian $759 · 10th to 90th $631 to $1,023
$200$500$1K$2K$5K$10Kfacility $4,898professional $759

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
$891.25
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$645.65
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,659.59
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,949.84
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,023.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,311.31
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,174.90

Where Michigan 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.

Michigan· 34th of 51

$776

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.