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Procedure price report · Other OR lower GI therapeutic procedures

Surgical repair of an opening between intestine and skin

CPT 44640the billing code this page is about

Open abdominal surgery to close an abnormal channel running from the intestine to the skin surface.

Hospitals typically charge $3,142 cash for this outpatient procedure — the median across 349 hospitals that filed a usable cash price; the average of the middle 60% is $3,286. Most fall between $1,542 and $6,167 (20th–80th percentile).

Hospitals
349
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 349 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
$937$1,766$3,142$5,339$7,880

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($937 vs $7,880).

How the prices are spread

$686 – $918: 13 hospitals$686$918 – $1,228: 10 hospitals$1,228 – $1,644: 34 hospitals$1,228$1,644 – $2,200: 43 hospitals$2,200 – $2,945: 48 hospitals$2,200$2,945 – $3,941: 58 hospitals$3,941 – $5,275: 36 hospitals$3,941$5,275 – $7,060: 39 hospitals$7,060 – $9,450: 27 hospitals$7,060$9,450 – $12,648: 7 hospitals$9,450median $3,142price bands are equal on a log scale
Hospitals per price band (315 of 349 — the bands cover the 5th to 95th percentile)
FromToHospitals
$686$91813
$918$1,22810
$1,228$1,64434
$1,644$2,20043
$2,200$2,94548
$2,945$3,94158
$3,941$5,27536
$5,275$7,06039
$7,060$9,45027
$9,450$12,6487

By state

The median cash price in each state, against the national median of $3,142.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,542 across 15 hospitalsWA$2,542Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,687 across 13 hospitalsIL$2,687Wisconsin: median $7,539 across 27 hospitalsWI$7,539Michigan: median $2,039 across 20 hospitalsMI$2,039New York: median $2,224 across 19 hospitalsNY$2,224Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,804 across 14 hospitalsOR$3,804Nevada: 2 hospitals 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 $3,443 across 20 hospitalsIA$3,443Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,461 across 13 hospitalsOH$3,461Pennsylvania: median $4,156 across 25 hospitalsPA$4,156New Jersey: median $4,627 across 20 hospitalsNJ$4,627Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,065 across 15 hospitalsCA$4,065Utah: 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: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,926 across 10 hospitalsOK$2,926Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,142. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI27$7,539+140%$3,824 – $8,679
New Jersey NJ20$4,627+47%$1,729 – $5,741
Pennsylvania PA25$4,156+32%$898 – $12,872
California CA15$4,065+29%$937 – $6,080
Oregon OR14$3,804+21%$2,542 – $3,952
Ohio OH13$3,461+10%$1,462 – $6,292
Iowa IA20$3,443+10%$2,249 – $3,443
Oklahoma OK10$2,926−7%$2,926 – $2,926
Illinois IL13$2,687−14%$1,422 – $3,637
Washington WA15$2,542−19%$2,046 – $5,441
New York NY19$2,224−29%$1,214 – $4,105
Michigan MI20$2,039−35%$1,766 – $3,142
Idaho ID9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not 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
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $3,142.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care265$2,980$1,427 – $5,741
Children’s9fewer than 20 hospitals
Critical access74$3,363$1,928 – $7,539
Ownership
For-profit33$3,363$1,422 – $6,644
Government59$2,877$1,542 – $4,281
Non-profit256$3,432$1,606 – $6,292
System affiliation
Part of a system260$3,353$1,497 – $6,292
Independent89$3,010$2,077 – $4,821

Cash price vs list price

Median list price (chargemaster)$4,181
Median cash price$3,142
Cash as a share of list, median hospital66%

At the typical hospital, asking for the cash price cuts the list price by about 34%. 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

239 hospitals filed a usable inpatient cash price for this code. The median is $2,926 and the average of the middle 60% is $3,023; most fall between $1,444 and $5,441.

Cash price percentiles, inpatient, across 239 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
$927$1,633$2,926$4,574$7,539

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($927 vs $7,539).

Of the 276 hospitals that filed this code inpatient, 239 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

349 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 414 hospitals that filed this code at all gave us
Usable cash price — counted349
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 — excluded0
A list price only, no cash figure — excluded20
Hospitals that filed this code414

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 Closure Intestinal Cutaneous Fistula.

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, “Surgical repair of an opening between intestine and skin (CPT 44640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-44640-surgical-repair-of-an-opening-between-intestine-and-skin