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Procedure price report · Colorectal resection

Partial colon removal with low rectal join and colostomy

CPT 44146the billing code this page is about

Open surgery that removes part of the colon and joins the remaining colon low in the pelvis to the rectum, while also creating an opening of the bowel onto the abdominal wall.

Hospitals typically charge $4,239 cash for this outpatient procedure — the median across 373 hospitals that filed a usable cash price; the average of the middle 60% is $4,388. Most fall between $2,275 and $7,205 (20th–80th percentile).

Hospitals
373
States
46
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 373 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
$1,662$2,766$4,239$6,028$10,845

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($1,662 vs $10,845).

How the prices are spread

$937 – $1,219: 11 hospitals$937$1,219 – $1,588: 8 hospitals$1,588 – $2,067: 19 hospitals$1,588$2,067 – $2,691: 32 hospitals$2,691 – $3,504: 49 hospitals$2,691$3,504 – $4,562: 74 hospitals$4,562 – $5,939: 63 hospitals$4,562$5,939 – $7,732: 34 hospitals$7,732 – $10,067: 22 hospitals$7,732$10,067 – $13,106: 30 hospitals$10,067median $4,239price bands are equal on a log scale
Hospitals per price band (342 of 373 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,21911
$1,219$1,5888
$1,588$2,06719
$2,067$2,69132
$2,691$3,50449
$3,504$4,56274
$4,562$5,93963
$5,939$7,73234
$7,732$10,06722
$10,067$13,10630

By state

The median cash price in each state, against the national median of $4,239.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $8,519 across 16 hospitalsMN$8,519Illinois: median $3,893 across 17 hospitalsIL$3,893Wisconsin: median $10,845 across 30 hospitalsWI$10,845Michigan: median $4,229 across 30 hospitalsMI$4,229New York: median $3,365 across 21 hospitalsNY$3,365Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $5,186 across 19 hospitalsOR$5,186Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $5,203 across 22 hospitalsIA$5,203Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,231 across 15 hospitalsOH$3,231Pennsylvania: median $4,290 across 12 hospitalsPA$4,290New Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,064 across 12 hospitalsCA$3,064Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,275 across 13 hospitalsWV$2,275Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,227 across 11 hospitalsKS$3,227Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital 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 $4,391 across 10 hospitalsOK$4,391Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,239. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI30$10,845+156%$10,845 – $15,110
Minnesota MN16$8,519+101%$4,432 – $9,996
New Jersey NJ13$5,339+26%$4,350 – $6,311
Iowa IA22$5,203+23%$4,008 – $5,203
Oregon OR19$5,186+22%$3,816 – $5,953
Oklahoma OK10$4,391+4%$4,391 – $4,391
Pennsylvania PA12$4,290+1%$1,347 – $5,746
Michigan MI30$4,2290%$2,904 – $4,239
Illinois IL17$3,893−8%$1,940 – $7,098
New York NY21$3,365−21%$1,478 – $5,240
Ohio OH15$3,231−24%$1,400 – $5,234
Kansas KS11$3,227−24%$1,054 – $3,582
California CA12$3,064−28%$937 – $5,992
West Virginia WV13$2,275−46%$2,229 – $5,233
Indiana IN9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not 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 $4,239.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care244$4,229$2,256 – $6,150
Children’s6fewer than 20 hospitals
Critical access122$4,518$2,275 – $9,996
Ownership
For-profit19fewer than 20 hospitals
Government65$4,008$2,118 – $5,992
Non-profit288$4,350$2,438 – $7,730
System affiliation
Part of a system268$4,350$2,275 – $7,934
Independent105$4,005$2,247 – $6,150

Cash price vs list price

Median list price (chargemaster)$5,795
Median cash price$4,239
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

229 hospitals filed a usable inpatient cash price for this code. The median is $4,239 and the average of the middle 60% is $4,170; most fall between $2,118 and $6,399.

Cash price percentiles, inpatient, across 229 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
$1,223$2,368$4,239$5,992$10,845

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,223 vs $10,845).

Of the 278 hospitals that filed this code inpatient, 229 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

373 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 443 hospitals that filed this code at all gave us
Usable cash price — counted373
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
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 — excluded16
Hospitals that filed this code443

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Colorectal resection family.

Hospitals file this code under descriptions such as Colectomy Prtl W/Coloproctostomy & Colostomy.

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, “Partial colon removal with low rectal join and colostomy (CPT 44146) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44146-partial-colon-removal-with-low-rectal-join-and-colostomy