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Procedure price report · Laparoscopy

Unlisted keyhole procedure on the intestine, not the rectum

CPT 44238the billing code this page is about

Used when a minimally invasive intestinal operation other than on the rectum has no specific billing code of its own.

Hospitals typically charge $4,652 cash for this outpatient procedure — the median across 484 hospitals that filed a usable cash price; the average of the middle 60% is $5,080. Most fall between $1,280 and $11,396 (20th–80th percentile).

Hospitals
484
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 484 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
$782$1,668$4,652$8,874$19,297

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($782 vs $19,297).

How the prices are spread

$357 – $553: 11 hospitals$357$553 – $857: 20 hospitals$857 – $1,327: 43 hospitals$857$1,327 – $2,055: 41 hospitals$2,055 – $3,183: 43 hospitals$2,055$3,183 – $4,930: 65 hospitals$4,930 – $7,635: 84 hospitals$4,930$7,635 – $11,825: 58 hospitals$11,825 – $18,314: 44 hospitals$11,825$18,314 – $28,364: 27 hospitals$18,314median $4,652price bands are equal on a log scale
Hospitals per price band (436 of 484 — the bands cover the 5th to 95th percentile)
FromToHospitals
$357$55311
$553$85720
$857$1,32743
$1,327$2,05541
$2,055$3,18343
$3,183$4,93065
$4,930$7,63584
$7,635$11,82558
$11,825$18,31444
$18,314$28,36427

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,652
Cash as a multiple of Medicare0.75×

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 $4,652.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,392 across 16 hospitalsWA$2,392Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,521 across 21 hospitalsMN$2,521Illinois: median $5,362 across 18 hospitalsIL$5,362Wisconsin: median $3,259 across 30 hospitalsWI$3,259Michigan: median $8,313 across 16 hospitalsMI$8,313New York: median $6,904 across 32 hospitalsNY$6,904Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,313 across 18 hospitalsOR$2,313Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,154 across 24 hospitalsIA$1,154Indiana: median $4,652 across 10 hospitalsIN$4,652Ohio: median $1,421 across 16 hospitalsOH$1,421Pennsylvania: median $9,864 across 13 hospitalsPA$9,864New Jersey: median $6,458 across 32 hospitalsNJ$6,458Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,601 across 36 hospitalsCA$3,601Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $13,259 across 17 hospitalsMO$13,259Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,075 across 14 hospitalsWV$2,075Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 7 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 $1,805 across 10 hospitalsKS$1,805Arkansas: 8 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 5 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,982 across 30 hospitalsTX$4,982Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,652. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Missouri MO17$13,259+185%$4,612 – $23,155
Pennsylvania PA13$9,864+112%$3,467 – $15,336
Michigan MI16$8,313+79%$1,190 – $19,451
New York NY32$6,904+48%$683 – $7,176
New Jersey NJ32$6,458+39%$5,110 – $8,243
Illinois IL18$5,362+15%$1,154 – $31,288
Texas TX30$4,982+7%$3,796 – $9,703
Indiana IN10$4,6520%$956 – $23,795
California CA36$3,601−23%$2,386 – $7,737
Wisconsin WI30$3,259−30%$296 – $9,782
Minnesota MN21$2,521−46%$562 – $7,579
Washington WA16$2,392−49%$587 – $8,099
Oregon OR18$2,313−50%$1,625 – $3,552
West Virginia WV14$2,075−55%$1,671 – $10,046
Kansas KS10$1,805−61%$437 – $3,899
Ohio OH16$1,421−69%$1,183 – $26,730
Iowa IA24$1,154−75%$951 – $2,726
Florida FL9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Oklahoma OK5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not 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 $4,652.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care364$6,025$1,552 – $14,309
Children’s4fewer than 20 hospitals
Critical access116$2,392$951 – $7,332
Ownership
For-profit53$8,462$5,395 – $17,204
Government80$2,726$951 – $7,419
Non-profit351$3,986$1,208 – $9,819
System affiliation
Part of a system381$5,313$1,299 – $12,823
Independent103$3,001$1,247 – $7,210

Cash price vs list price

Median list price (chargemaster)$5,334
Median cash price$4,652
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

206 hospitals filed a usable inpatient cash price for this code. The median is $1,795 and the average of the middle 60% is $2,106; most fall between $562 and $3,796.

Cash price percentiles, inpatient, across 206 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
$296$758$1,795$3,601$9,703

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($296 vs $9,703).

Of the 252 hospitals that filed this code inpatient, 206 gave a usable cash price; 16 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

484 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 559 hospitals that filed this code at all gave us
Usable cash price — counted484
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded5
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded19
Hospitals that filed this code559

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 Laparoscopy family.

Hospitals file this code under descriptions such as PR Lap Partial Colectomy W/ Colostomy and Mucofisula C/T 44144.

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, “Unlisted keyhole procedure on the intestine, not the rectum (CPT 44238) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44238-unlisted-keyhole-procedure-on-the-intestine-not-the-rectum