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Procedure price report · Small bowel resection

Small bowel removal, each additional segment

CPT 44121the billing code this page is about

An add-on charge for removing one more segment of small intestine and rejoining the ends during the same operation; it is billed once for each extra segment beyond the first.

Hospitals typically charge $594 cash for this outpatient procedure — the median across 416 hospitals that filed a usable cash price; the average of the middle 60% is $643. Most fall between $335 and $1,225 (20th–80th percentile).

Hospitals
416
States
47
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 416 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$230$369$594$1,142$1,816

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($230 vs $1,816).

How the prices are spread

$82 – $120: 15 hospitals$82$120 – $175: 10 hospitals$175 – $256: 14 hospitals$175$256 – $375: 60 hospitals$375 – $548: 81 hospitals$375$548 – $801: 89 hospitals$801 – $1,171: 36 hospitals$801$1,171 – $1,711: 58 hospitals$1,711 – $2,502: 8 hospitals$1,711$2,502 – $3,657: 14 hospitals$2,502median $594price bands are equal on a log scale
Hospitals per price band (385 of 416 — the bands cover the 5th to 95th percentile)
FromToHospitals
$82$12015
$120$17510
$175$25614
$256$37560
$375$54881
$548$80189
$801$1,17136
$1,171$1,71158
$1,711$2,5028
$2,502$3,65714

By state

The median cash price in each state, against the national median of $594.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $489 across 16 hospitalsWA$489Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $741 across 24 hospitalsMN$741Illinois: median $453 across 18 hospitalsIL$453Wisconsin: median $1,225 across 30 hospitalsWI$1,225Michigan: median $647 across 32 hospitalsMI$647New York: median $585 across 25 hospitalsNY$585Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $436 across 14 hospitalsOR$436Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $594 across 28 hospitalsIA$594Indiana: median $397 across 10 hospitalsIN$397Ohio: median $512 across 13 hospitalsOH$512Pennsylvania: median $154 across 20 hospitalsPA$154New Jersey: median $5,110 across 14 hospitalsNJ$5,110Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $604 across 11 hospitalsCA$604Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $263 across 12 hospitalsWV$263Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $393 across 11 hospitalsKS$393Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $337 across 10 hospitalsOK$337Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $594. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$5,110+761%$3,986 – $6,311
Wisconsin WI30$1,225+106%$1,225 – $3,011
Minnesota MN24$741+25%$383 – $1,421
Michigan MI32$647+9%$331 – $1,225
California CA11$604+2%$402 – $675
Iowa IA28$5940%$533 – $775
New York NY25$585−1%$191 – $1,142
Ohio OH13$512−14%$296 – $1,088
Washington WA16$489−18%$438 – $599
Illinois IL18$453−24%$384 – $952
Oregon OR14$436−27%$436 – $676
Indiana IN10$397−33%$155 – $556
Kansas KS11$393−34%$369 – $475
Oklahoma OK10$337−43%$337 – $337
West Virginia WV12$263−56%$260 – $612
Pennsylvania PA20$154−74%$37 – $1,074
Missouri MO9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $594.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care270$580$296 – $1,225
Children’s9fewer than 20 hospitals
Critical access136$630$397 – $1,367
Ownership
For-profit24$653$397 – $1,622
Government86$576$370 – $987
Non-profit305$594$296 – $1,225
System affiliation
Part of a system293$595$296 – $1,285
Independent123$534$372 – $997

Cash price vs list price

Median list price (chargemaster)$742
Median cash price$594
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

260 hospitals filed a usable inpatient cash price for this code. The median is $500 and the average of the middle 60% is $609; most fall between $276 and $1,225.

Cash price percentiles, inpatient, across 260 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$139$337$500$965$1,367

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($139 vs $1,367).

Of the 299 hospitals that filed this code inpatient, 260 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

416 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 487 hospitals that filed this code at all gave us
Usable cash price — counted416
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code487

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Small bowel resection family.

Hospitals file this code under descriptions such as Enterectomy Rescj Small Intestine Ea Rescj & Ana.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Small bowel removal, each additional segment (CPT 44121) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44121-small-bowel-removal-each-additional-segment