go back

First Stage Repair of Newborn Belly Defect

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,230 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 8 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$776$692 to $955
FacilityA hospital or hospital-owned outpatient department$1,230$794 to $7,079

How much rates vary

Facilitymedian $1,230 · 10th to 90th $708 to $12,023Professionalmedian $776 · 10th to 90th $631 to $1,259
$500$1K$2K$5K$10Kfacility $1,230professional $776

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
$776.25
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,380.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,380.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$2,137.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,884.03
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$1,348.96

Where Virginia 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.

Virginia· 29th 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.