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First Stage Repair of Newborn Belly Defect

Montana 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?

$1,000

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,202 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 5 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$912$646 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,202$955 to $1,230

How much rates vary

Facilitymedian $1,202 · 10th to 90th $813 to $1,380Professionalmedian $912 · 10th to 90th $617 to $1,738
$100$200$500$1K$2Kfacility $1,202professional $912

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
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$2,089.30
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,096.48
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,445.44

Where Montana 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.

Montana· 11th of 51

$1,000

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.