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First Stage Repair of Newborn Belly Defect

Tennessee 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?

$759

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $2,399 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$759$692 to $955
FacilityA hospital or hospital-owned outpatient department$2,399$1,738 to $3,890

How much rates vary

Facilitymedian $2,399 · 10th to 90th $794 to $4,467Professionalmedian $759 · 10th to 90th $617 to $1,349
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $759

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
$1,445.44
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,479.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$4,365.16
Typical High
$4,365.16
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,318.26

Where Tennessee 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.

Tennessee· 39th of 51

$759

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.