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Procedure price report · Colostomy, temporary and permanent

Keyhole surgery to create a colostomy

CPT 44188the billing code this page is about

Laparoscopic creation of an opening from the colon onto the abdominal wall so stool drains into a pouch.

Hospitals typically charge $2,542 cash for this outpatient procedure — the median across 444 hospitals that filed a usable cash price; the average of the middle 60% is $2,743. Most fall between $1,451 and $4,528 (20th–80th percentile).

Hospitals
444
States
49
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 444 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
$807$1,688$2,542$4,150$6,304

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($807 vs $6,304).

How the prices are spread

$421 – $567: 20 hospitals$421$567 – $765: 14 hospitals$765 – $1,031: 17 hospitals$765$1,031 – $1,389: 26 hospitals$1,389 – $1,873: 53 hospitals$1,389$1,873 – $2,524: 78 hospitals$2,524 – $3,403: 75 hospitals$2,524$3,403 – $4,586: 69 hospitals$4,586 – $6,182: 29 hospitals$4,586$6,182 – $8,333: 36 hospitals$6,182median $2,542price bands are equal on a log scale
Hospitals per price band (417 of 444 — the bands cover the 5th to 95th percentile)
FromToHospitals
$421$56720
$567$76514
$765$1,03117
$1,031$1,38926
$1,389$1,87353
$1,873$2,52478
$2,524$3,40375
$3,403$4,58669
$4,586$6,18229
$6,182$8,33336

By state

The median cash price in each state, against the national median of $2,542.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 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 $2,423 across 11 hospitalsWA$2,423Idaho: 7 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 $3,308 across 22 hospitalsMN$3,308Illinois: median $2,114 across 19 hospitalsIL$2,114Wisconsin: median $6,304 across 32 hospitalsWI$6,304Michigan: median $2,054 across 30 hospitalsMI$2,054New York: median $1,986 across 25 hospitalsNY$1,986Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,614 across 15 hospitalsOR$2,614Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $3,008 across 21 hospitalsIA$3,008Indiana: median $1,569 across 12 hospitalsIN$1,569Ohio: median $2,581 across 16 hospitalsOH$2,581Pennsylvania: median $881 across 21 hospitalsPA$881New 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 $4,150 across 34 hospitalsCA$4,150Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,110 across 12 hospitalsWV$2,110Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 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 $1,853 across 17 hospitalsKS$1,853Arkansas: 3 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 $2,542 across 11 hospitalsOK$2,542Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,542. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI32$6,304+148%$4,528 – $8,924
New Jersey NJ14$5,110+101%$4,125 – $6,311
California CA34$4,150+63%$2,202 – $4,150
Minnesota MN22$3,308+30%$1,942 – $6,203
Iowa IA21$3,008+18%$1,872 – $3,008
Oregon OR15$2,614+3%$2,211 – $3,494
Ohio OH16$2,581+2%$1,449 – $5,031
Oklahoma OK11$2,5420%$2,542 – $2,542
Washington WA11$2,423−5%$2,332 – $2,926
Illinois IL19$2,114−17%$734 – $3,802
West Virginia WV12$2,110−17%$1,297 – $3,330
Michigan MI30$2,054−19%$1,688 – $2,276
New York NY25$1,986−22%$946 – $3,032
Kansas KS17$1,853−27%$1,250 – $2,547
Indiana IN12$1,569−38%$421 – $2,229
Pennsylvania PA21$881−65%$644 – $3,325
New Hampshire NH8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not 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
New Mexico NM2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Massachusetts MA1not 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
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 $2,542.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care302$2,542$1,297 – $4,422
Children’s7fewer than 20 hospitals
Critical access133$2,574$1,569 – $5,287
Ownership
For-profit28$2,614$1,569 – $8,085
Government74$2,472$1,441 – $3,465
Non-profit340$2,547$1,438 – $5,031
System affiliation
Part of a system321$2,563$1,343 – $5,031
Independent123$2,483$1,553 – $3,820

Cash price vs list price

Median list price (chargemaster)$3,670
Median cash price$2,542
Cash as a share of list, median hospital67%

At the typical hospital, asking for the cash price cuts the list price by about 33%. 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 $2,375 and the average of the middle 60% is $2,524; most fall between $1,430 and $4,125.

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
$545$1,569$2,375$3,640$6,304

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($545 vs $6,304).

Of the 320 hospitals that filed this code inpatient, 278 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

444 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 519 hospitals that filed this code at all gave us
Usable cash price — counted444
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
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 — excluded25
Hospitals that filed this code519

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 Colostomy, temporary and permanent family.

Hospitals file this code under descriptions such as PR Lap, Surg 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, “Keyhole surgery to create a colostomy (CPT 44188) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44188-keyhole-surgery-to-create-a-colostomy