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First Stage Repair of Newborn Belly Defect

Missouri 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?

$933

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $4,677 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$794$692 to $1,023
FacilityA hospital or hospital-owned outpatient department$4,677$2,291 to $7,079

How much rates vary

Facilitymedian $4,677 · 10th to 90th $933 to $10,000Professionalmedian $794 · 10th to 90th $646 to $1,778
$1K$2K$5K$10Kfacility $4,677professional $794

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
$758.58
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,370.32
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,818.38
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,445.44

Where Missouri 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.

Missouri· 16th of 51

$933

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.