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Procedure price report · Other OR lower GI therapeutic procedures

Keyhole surgery to free intestinal adhesions

CPT 44180the billing code this page is about

Laparoscopic surgery through small incisions to cut scar tissue bands that are binding or blocking the intestine, billed when done on its own.

Hospitals typically charge $3,970 cash for this outpatient procedure — the median across 897 hospitals that filed a usable cash price; the average of the middle 60% is $4,223. Most fall between $1,564 and $9,860 (20th–80th percentile).

Hospitals
897
States
50
Filings dated
Aug 2022 – 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 897 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
$1,093$1,689$3,970$7,559$16,251

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,093 vs $16,251).

How the prices are spread

$759 – $1,069: 40 hospitals$759$1,069 – $1,506: 87 hospitals$1,506 – $2,122: 139 hospitals$1,506$2,122 – $2,991: 104 hospitals$2,991 – $4,214: 54 hospitals$2,991$4,214 – $5,938: 105 hospitals$5,938 – $8,368: 123 hospitals$5,938$8,368 – $11,791: 55 hospitals$11,791 – $16,614: 68 hospitals$11,791$16,614 – $23,411: 34 hospitals$16,614median $3,970price bands are equal on a log scale
Hospitals per price band (809 of 897 — the bands cover the 5th to 95th percentile)
FromToHospitals
$759$1,06940
$1,069$1,50687
$1,506$2,122139
$2,122$2,991104
$2,991$4,21454
$4,214$5,938105
$5,938$8,368123
$8,368$11,79155
$11,791$16,61468
$16,614$23,41134

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,970
Cash as a multiple of Medicare0.64×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,970.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,320 across 13 hospitalsME$1,320Vermont: median $1,692 across 11 hospitalsVT$1,692New Hampshire: median $1,219 across 10 hospitalsNH$1,219Washington: median $2,098 across 23 hospitalsWA$2,098Idaho: median $6,099 across 13 hospitalsID$6,099Montana: median $1,969 across 13 hospitalsMT$1,969North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,495 across 38 hospitalsMN$2,495Illinois: median $2,910 across 38 hospitalsIL$2,910Wisconsin: median $4,728 across 41 hospitalsWI$4,728Michigan: median $1,569 across 38 hospitalsMI$1,569New York: median $3,411 across 48 hospitalsNY$3,411Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,129 across 23 hospitalsOR$2,129Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,258 across 46 hospitalsIA$2,258Indiana: median $1,774 across 21 hospitalsIN$1,774Ohio: median $6,350 across 33 hospitalsOH$6,350Pennsylvania: median $6,841 across 25 hospitalsPA$6,841New Jersey: median $6,458 across 31 hospitalsNJ$6,458Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $7,244 across 60 hospitalsCA$7,244Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,282 across 16 hospitalsCO$2,282Nebraska: median $2,103 across 15 hospitalsNE$2,103Missouri: median $4,415 across 30 hospitalsMO$4,415Kentucky: median $1,476 across 12 hospitalsKY$1,476West Virginia: median $2,632 across 19 hospitalsWV$2,632Virginia: median $8,800 across 17 hospitalsVA$8,800Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,801 across 30 hospitalsKS$1,801Arkansas: median $4,632 across 13 hospitalsAR$4,632Tennessee: median $1,594 across 12 hospitalsTN$1,594North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,931 across 16 hospitalsOK$1,931Louisiana: median $5,639 across 13 hospitalsLA$5,639Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,395 across 14 hospitalsAL$5,395Georgia: median $10,651 across 14 hospitalsGA$10,651Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,162 across 46 hospitalsTX$6,162Florida: median $10,339 across 15 hospitalsFL$10,339
Cash price by state, most expensive first. National median $3,970. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA14$10,651+168%$6,034 – $19,700
Florida FL15$10,339+160%$3,970 – $12,596
Virginia VA17$8,800+122%$4,687 – $19,846
California CA60$7,244+82%$1,654 – $16,251
Pennsylvania PA25$6,841+72%$1,673 – $11,111
New Jersey NJ31$6,458+63%$4,881 – $7,786
Ohio OH33$6,350+60%$1,143 – $31,976
Texas TX46$6,162+55%$5,338 – $14,329
Idaho ID13$6,099+54%$2,218 – $15,131
Louisiana LA13$5,639+42%$1,642 – $12,799
Alabama AL14$5,395+36%$2,598 – $17,614
Wisconsin WI41$4,728+19%$2,648 – $6,796
Arkansas AR13$4,632+17%$2,039 – $7,685
Missouri MO30$4,415+11%$1,392 – $17,175
New York NY48$3,411−14%$1,491 – $7,053
Illinois IL38$2,910−27%$1,136 – $10,234
West Virginia WV19$2,632−34%$1,037 – $8,793
Minnesota MN38$2,495−37%$1,548 – $4,338
Colorado CO16$2,282−43%$1,873 – $5,157
Iowa IA46$2,258−43%$1,712 – $2,624
Oregon OR23$2,129−46%$1,689 – $3,854
Nebraska NE15$2,103−47%$1,600 – $4,652
Washington WA23$2,098−47%$1,689 – $7,698
Montana MT13$1,969−50%$1,371 – $4,268
Oklahoma OK16$1,931−51%$1,931 – $8,175
Kansas KS30$1,801−55%$1,078 – $4,829
Indiana IN21$1,774−55%$1,063 – $17,591
Vermont VT11$1,692−57%$890 – $3,650
Tennessee TN12$1,594−60%$856 – $7,559
Michigan MI38$1,569−60%$1,471 – $8,313
Kentucky KY12$1,476−63%$1,136 – $1,778
Maine ME13$1,320−67%$523 – $2,771
New Hampshire NH10$1,219−69%$1,028 – $3,410
Mississippi MS9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $3,970.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care592$5,665$1,600 – $12,596
Children’s10fewer than 20 hospitals
Critical access293$2,206$1,377 – $4,829
Ownership
For-profit89$8,800$2,214 – $17,443
Government196$2,559$1,489 – $6,904
Non-profit610$3,986$1,539 – $8,313
System affiliation
Part of a system654$4,728$1,569 – $11,111
Independent243$2,306$1,394 – $6,043

Cash price vs list price

Median list price (chargemaster)$3,837
Median cash price$3,970
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

432 hospitals filed a usable inpatient cash price for this code. The median is $2,167 and the average of the middle 60% is $2,728; most fall between $1,136 and $6,350.

Cash price percentiles, inpatient, across 432 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
$543$1,294$2,167$5,405$10,651

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($543 vs $10,651).

Of the 489 hospitals that filed this code inpatient, 432 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

897 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 997 hospitals that filed this code at all gave us
Usable cash price — counted897
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded32
Hospitals that filed this code997

Sections not shown for this setting

  • 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 Other OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Laparoscopy Enterolysis Separate Procedure.

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, “Keyhole surgery to free intestinal adhesions (CPT 44180) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44180-keyhole-surgery-to-free-intestinal-adhesions