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First Stage Repair of Newborn Belly Defect

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $5,370 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$724$661 to $813
FacilityA hospital or hospital-owned outpatient department$5,370$1,514 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $741 to $8,511Professionalmedian $724 · 10th to 90th $617 to $1,047
$500$1K$2K$5K$10K$20Kfacility $5,370professional $724

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
$741.31
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$977.24
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$34,673.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,380.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,348.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,174.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,380.38
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$1,348.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$2,137.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,318.26

Where Pennsylvania 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.

Pennsylvania· 45th 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.