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First Stage Repair of Newborn Belly Defect

New York 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?

$955

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $832 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 9 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$832$676 to $1,202
FacilityA hospital or hospital-owned outpatient department$4,898$2,630 to $7,762

How much rates vary

Facilitymedian $4,898 · 10th to 90th $912 to $11,482Professionalmedian $832 · 10th to 90th $589 to $2,042
$500$1K$2K$5K$10Kfacility $4,898professional $832

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
$812.83
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,348.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$2,570.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$2,570.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,659.59
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$1,445.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$6,456.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$2,630.27
Univera
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,737.80

Where New York 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 York· 15th of 51

$955

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.