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First Stage Repair of Newborn Belly Defect

New Mexico 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?

$741

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $955 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$741$661 to $955
FacilityA hospital or hospital-owned outpatient department$955$776 to $1,288

How much rates vary

Facilitymedian $955 · 10th to 90th $676 to $2,570Professionalmedian $741 · 10th to 90th $617 to $1,148
$50$200$1K$5Kfacility $955professional $741

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
$1,000.00
Median
$1,096.48
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,445.44

Where New Mexico 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.

New Mexico· 43rd of 51

$741

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.