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Procedure price report · Ileostomy and other enterostomy

Keyhole surgery to create a feeding opening into the jejunum

CPT 44186the billing code this page is about

Laparoscopic placement of a tube opening into the middle small intestine through the abdominal wall for feeding or drainage.

Hospitals typically charge $3,206 cash for this outpatient procedure — the median across 476 hospitals that filed a usable cash price; the average of the middle 60% is $3,531. Most fall between $1,104 and $7,244 (20th–80th percentile).

Hospitals
476
States
45
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 476 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
$791$1,198$3,206$6,904$14,510

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($791 vs $14,510).

How the prices are spread

$540 – $764: 22 hospitals$540$764 – $1,082: 43 hospitals$1,082 – $1,532: 76 hospitals$1,082$1,532 – $2,168: 45 hospitals$2,168 – $3,069: 27 hospitals$2,168$3,069 – $4,345: 40 hospitals$4,345 – $6,150: 59 hospitals$4,345$6,150 – $8,706: 64 hospitals$8,706 – $12,324: 21 hospitals$8,706$12,324 – $17,445: 42 hospitals$12,324median $3,206price bands are equal on a log scale
Hospitals per price band (439 of 476 — the bands cover the 5th to 95th percentile)
FromToHospitals
$540$76422
$764$1,08243
$1,082$1,53276
$1,532$2,16845
$2,168$3,06927
$3,069$4,34540
$4,345$6,15059
$6,150$8,70664
$8,706$12,32421
$12,324$17,44542

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,206
Cash as a multiple of Medicare0.52×

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 $3,206.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $6,099 across 10 hospitalsID$6,099Montana: 3 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 $2,556 across 20 hospitalsMN$2,556Illinois: median $1,491 across 19 hospitalsIL$1,491Wisconsin: median $3,306 across 30 hospitalsWI$3,306Michigan: median $1,104 across 29 hospitalsMI$1,104New York: median $6,176 across 39 hospitalsNY$6,176Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,198 across 11 hospitalsOR$1,198Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,598 across 18 hospitalsIA$1,598Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $6,350 across 20 hospitalsOH$6,350Pennsylvania: median $992 across 20 hospitalsPA$992New Jersey: median $6,458 across 30 hospitalsNJ$6,458Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,244 across 44 hospitalsCA$7,244Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,366 across 13 hospitalsOK$1,366Louisiana: median $2,156 across 10 hospitalsLA$2,156Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,698 across 35 hospitalsTX$5,698Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,206. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA44$7,244+126%$1,871 – $14,510
New Jersey NJ30$6,458+101%$4,881 – $7,822
Ohio OH20$6,350+98%$1,386 – $17,445
New York NY39$6,176+93%$1,081 – $7,176
Idaho ID10$6,099+90%$1,234 – $15,131
Texas TX35$5,698+78%$5,698 – $6,061
Wisconsin WI30$3,306+3%$3,206 – $5,144
Minnesota MN20$2,556−20%$1,220 – $3,260
Louisiana LA10$2,156−33%$1,124 – $8,462
Iowa IA18$1,598−50%$1,321 – $1,598
Illinois IL19$1,491−54%$858 – $3,462
Oklahoma OK13$1,366−57%$1,366 – $8,275
Oregon OR11$1,198−63%$1,198 – $1,852
Michigan MI29$1,104−66%$1,104 – $3,206
Pennsylvania PA20$992−69%$403 – $9,060
Florida FL9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not 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 $3,206.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care383$3,786$1,104 – $8,313
Children’s8fewer than 20 hospitals
Critical access84$1,966$1,104 – $4,063
Ownership
For-profit40$4,578$858 – $9,329
Government68$1,832$977 – $6,904
Non-profit367$3,206$1,104 – $7,547
System affiliation
Part of a system388$3,462$1,106 – $8,243
Independent88$1,590$992 – $4,578

Cash price vs list price

Median list price (chargemaster)$2,476
Median cash price$3,206
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

278 hospitals filed a usable inpatient cash price for this code. The median is $1,832 and the average of the middle 60% is $3,073; most fall between $935 and $7,244.

Cash price percentiles, inpatient, across 278 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
$665$1,109$1,832$6,061$14,510

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($665 vs $14,510).

Of the 308 hospitals that filed this code inpatient, 278 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 12 a list price only.

How complete is this

476 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 532 hospitals that filed this code at all gave us
Usable cash price — counted476
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded10
Hospitals that filed this code532

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 Ileostomy and other enterostomy family.

Hospitals file this code under descriptions such as PR Lap, Surg Jejunostomy.

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 create a feeding opening into the jejunum (CPT 44186) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44186-keyhole-surgery-to-create-a-feeding-opening-into-the-jejunum