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Procedure price report · Colorectal resection

Full rectum removal with permanent colostomy

CPT 45110the billing code this page is about

Removal of the entire rectum and anus through both abdominal and perineal incisions, with the colon brought out to a permanent opening on the abdomen.

Hospitals typically charge $3,912 cash for this outpatient procedure — the median across 308 hospitals that filed a usable cash price; the average of the middle 60% is $4,157. Most fall between $2,459 and $6,187 (20th–80th percentile).

Hospitals
308
States
46
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 308 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
$1,800$2,754$3,912$5,635$8,116

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($1,800 vs $8,116).

How the prices are spread

$739 – $972: 3 hospitals$739$972 – $1,280: 7 hospitals$1,280 – $1,684: 4 hospitals$1,280$1,684 – $2,216: 15 hospitals$2,216 – $2,916: 38 hospitals$2,216$2,916 – $3,837: 64 hospitals$3,837 – $5,050: 55 hospitals$3,837$5,050 – $6,645: 51 hospitals$6,645 – $8,744: 29 hospitals$6,645$8,744 – $11,507: 13 hospitals$8,744median $3,912price bands are equal on a log scale
Hospitals per price band (279 of 308 — the bands cover the 5th to 95th percentile)
FromToHospitals
$739$9723
$972$1,2807
$1,280$1,6844
$1,684$2,21615
$2,216$2,91638
$2,916$3,83764
$3,837$5,05055
$5,050$6,64551
$6,645$8,74429
$8,744$11,50713

By state

The median cash price in each state, against the national median of $3,912.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital 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 $8,116 across 14 hospitalsMN$8,116Illinois: median $4,545 across 14 hospitalsIL$4,545Wisconsin: median $7,466 across 30 hospitalsWI$7,466Michigan: median $3,378 across 30 hospitalsMI$3,378New York: median $3,228 across 18 hospitalsNY$3,228Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,517 across 13 hospitalsOR$4,517Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $4,545 across 21 hospitalsIA$4,545Indiana: median $2,281 across 11 hospitalsIN$2,281Ohio: median $6,770 across 10 hospitalsOH$6,770Pennsylvania: median $299 across 15 hospitalsPA$299New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 8 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 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: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $3,816 across 10 hospitalsOK$3,816Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,912. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN14$8,116+107%$3,856 – $8,116
Wisconsin WI30$7,466+91%$5,635 – $15,155
Ohio OH10$6,770+73%$2,683 – $7,998
New Jersey NJ14$5,339+36%$4,350 – $6,311
Iowa IA21$4,545+16%$3,622 – $4,545
Illinois IL14$4,545+16%$2,281 – $8,827
Oregon OR13$4,517+15%$3,294 – $5,006
Oklahoma OK10$3,816−2%$3,816 – $3,816
Michigan MI30$3,378−14%$2,459 – $3,894
New York NY18$3,228−17%$1,537 – $5,235
Indiana IN11$2,281−42%$2,281 – $3,957
Pennsylvania PA15$299−92%$244 – $4,972
California CA8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not 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 Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not 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 $3,912.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care212$3,816$2,281 – $5,682
Children’s6fewer than 20 hospitals
Critical access89$5,006$3,081 – $8,116
Ownership
For-profit23$3,894$2,281 – $8,054
Government51$3,858$2,714 – $5,378
Non-profit233$4,122$2,537 – $6,187
System affiliation
Part of a system226$4,097$2,459 – $6,311
Independent82$3,598$2,508 – $6,154

Cash price vs list price

Median list price (chargemaster)$5,681
Median cash price$3,912
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

189 hospitals filed a usable inpatient cash price for this code. The median is $3,816 and the average of the middle 60% is $3,922; most fall between $2,240 and $5,635.

Cash price percentiles, inpatient, across 189 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
$1,205$2,281$3,816$5,362$6,474

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($1,205 vs $6,474).

Of the 221 hospitals that filed this code inpatient, 189 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

308 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 358 hospitals that filed this code at all gave us
Usable cash price — counted308
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
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 — excluded9
Hospitals that filed this code358

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Colorectal resection family.

Hospitals file this code under descriptions such as Prctect Compl Cmbn Abdominoprnl W/Clst.

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, “Full rectum removal with permanent colostomy (CPT 45110) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45110-full-rectum-removal-with-permanent-colostomy