HRHospitalRates.comCompare prices

Procedure price report · Other OR lower GI therapeutic procedures

Laparoscopic closure of bowel opening with resection

CPT 44227the billing code this page is about

Keyhole surgery that closes a surgically created opening of the small or large intestine on the abdominal wall, removing the involved bowel segment and rejoining the ends.

Hospitals typically charge $3,419 cash for this outpatient procedure — the median across 402 hospitals that filed a usable cash price; the average of the middle 60% is $3,592. Most fall between $1,875 and $6,956 (20th–80th percentile).

Hospitals
402
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 402 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
$1,301$2,062$3,419$5,660$8,842

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($1,301 vs $8,842).

How the prices are spread

$570 – $774: 20 hospitals$570$774 – $1,052: 5 hospitals$1,052 – $1,429: 12 hospitals$1,052$1,429 – $1,942: 36 hospitals$1,942 – $2,638: 60 hospitals$1,942$2,638 – $3,585: 76 hospitals$3,585 – $4,870: 66 hospitals$3,585$4,870 – $6,617: 35 hospitals$6,617 – $8,990: 44 hospitals$6,617$8,990 – $12,214: 19 hospitals$8,990median $3,419price bands are equal on a log scale
Hospitals per price band (373 of 402 — the bands cover the 5th to 95th percentile)
FromToHospitals
$570$77420
$774$1,0525
$1,052$1,42912
$1,429$1,94236
$1,942$2,63860
$2,638$3,58576
$3,585$4,87066
$4,870$6,61735
$6,617$8,99044
$8,990$12,21419

By state

The median cash price in each state, against the national median of $3,419.

Alaska: 5 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: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,265 across 11 hospitalsWA$3,265Idaho: 4 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 $5,090 across 20 hospitalsMN$5,090Illinois: median $3,090 across 17 hospitalsIL$3,090Wisconsin: median $8,543 across 31 hospitalsWI$8,543Michigan: median $2,088 across 32 hospitalsMI$2,088New York: median $2,729 across 26 hospitalsNY$2,729Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,012 across 12 hospitalsOR$3,012Nevada: 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 $4,098 across 21 hospitalsIA$4,098Indiana: median $1,584 across 12 hospitalsIN$1,584Ohio: median $3,571 across 15 hospitalsOH$3,571Pennsylvania: median $3,740 across 10 hospitalsPA$3,740New 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 $2,507 across 13 hospitalsCA$2,507Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 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 $1,786 across 14 hospitalsWV$1,786Virginia: 3 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,433 across 15 hospitalsKS$2,433Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $3,474 across 10 hospitalsOK$3,474Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,419. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI31$8,543+150%$8,543 – $11,985
New Jersey NJ13$5,339+56%$4,350 – $5,855
Minnesota MN20$5,090+49%$2,443 – $7,457
Iowa IA21$4,098+20%$3,419 – $4,098
Pennsylvania PA10$3,740+9%$570 – $4,927
Ohio OH15$3,571+4%$1,366 – $7,441
Oklahoma OK10$3,474+2%$3,474 – $3,474
Washington WA11$3,265−5%$3,012 – $3,772
Illinois IL17$3,090−10%$1,584 – $8,842
Oregon OR12$3,012−12%$3,012 – $4,758
New York NY26$2,729−20%$1,322 – $4,040
California CA13$2,507−27%$656 – $4,477
Kansas KS15$2,433−29%$1,404 – $3,120
Michigan MI32$2,088−39%$2,062 – $3,158
West Virginia WV14$1,786−48%$1,763 – $4,624
Indiana IN12$1,584−54%$1,451 – $2,926
Florida FL9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $3,419.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care268$3,225$1,804 – $6,311
Children’s7fewer than 20 hospitals
Critical access126$3,395$1,958 – $7,457
Ownership
For-profit28$3,474$1,584 – $10,221
Government80$3,395$2,009 – $5,234
Non-profit293$3,474$1,804 – $7,441
System affiliation
Part of a system288$3,474$1,804 – $7,457
Independent114$3,202$1,959 – $5,122

Cash price vs list price

Median list price (chargemaster)$4,599
Median cash price$3,419
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

251 hospitals filed a usable inpatient cash price for this code. The median is $3,144 and the average of the middle 60% is $3,110; most fall between $1,584 and $5,187.

Cash price percentiles, inpatient, across 251 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
$570$1,804$3,144$4,667$8,543

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($570 vs $8,543).

Of the 299 hospitals that filed this code inpatient, 251 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 21 a list price only.

How complete is this

402 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 478 hospitals that filed this code at all gave us
Usable cash price — counted402
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
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 — excluded24
Hospitals that filed this code478

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 Other OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Laps Clsr Ntrstm Lg/Sm Int W/Rescj & Anastomosis.

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, “Laparoscopic closure of bowel opening with resection (CPT 44227) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44227-laparoscopic-closure-of-bowel-opening-with-resection