go back

First Stage Repair of Newborn Belly Defect

South Carolina 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?

$813

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $977 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 $891
FacilityA hospital or hospital-owned outpatient department$977$813 to $1,820

How much rates vary

Facilitymedian $977 · 10th to 90th $692 to $12,303Professionalmedian $794 · 10th to 90th $617 to $1,230
$50$200$1K$5K$20Kfacility $977professional $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
$812.83
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,288.25

Where South Carolina 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.

South Carolina· 30th of 51

$813

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.