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Procedure price report · Colorectal resection

Rectum and most of colon removed with pull-through

CPT 45121the billing code this page is about

Surgery through the abdomen and the area around the anus to remove the rectum along with most or all of the colon, joining bowel to the anus and taking multiple tissue samples.

Hospitals typically charge $3,644 cash for this outpatient procedure — the median across 122 hospitals that filed a usable cash price; the average of the middle 60% is $3,609. Most fall between $2,105 and $5,178 (20th–80th percentile).

Hospitals
122
States
30
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 122 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
$1,385$2,469$3,644$4,909$6,188

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($1,385 vs $6,188).

How the prices are spread

$227 – $320: 1 hospitals$227$320 – $450: 0 hospitals$450 – $633: 0 hospitals$450$633 – $890: 1 hospitals$890 – $1,252: 2 hospitals$890$1,252 – $1,761: 7 hospitals$1,761 – $2,478: 14 hospitals$1,761$2,478 – $3,485: 27 hospitals$3,485 – $4,902: 33 hospitals$3,485$4,902 – $6,896: 25 hospitals$4,902median $3,644price bands are equal on a log scale
Hospitals per price band (110 of 122 — the bands cover the 5th to 95th percentile)
FromToHospitals
$227$3201
$320$4500
$450$6330
$633$8901
$890$1,2522
$1,252$1,7617
$1,761$2,47814
$2,478$3,48527
$3,485$4,90233
$4,902$6,89625

By state

The median cash price in each state, against the national median of $3,644.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: no hospital in the corpus filed a usable priceWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $2,574 across 10 hospitalsIL$2,574Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,469 across 11 hospitalsMI$2,469New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $4,269 across 15 hospitalsIA$4,269Indiana: no hospital in the corpus filed a usable priceINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $227 across 14 hospitalsPA$227New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 2 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $2,870 across 10 hospitalsOK$2,870Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,644. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ12$5,110+40%$4,350 – $5,855
Iowa IA15$4,269+17%$4,269 – $4,269
Oklahoma OK10$2,870−21%$2,870 – $2,870
Illinois IL10$2,574−29%$1,385 – $4,096
Michigan MI11$2,469−32%$2,469 – $4,038
Pennsylvania PA14$227−94%$178 – $5,148
New York NY7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
California CA2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not 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 $3,644.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care106$3,786$2,105 – $5,210
Children’s7fewer than 20 hospitals
Critical access9fewer than 20 hospitals
Ownership
For-profit13fewer than 20 hospitals
Government14fewer than 20 hospitals
Non-profit95$3,846$2,195 – $5,165
System affiliation
Part of a system96$3,982$2,195 – $5,165
Independent26$3,348$2,105 – $5,215

Cash price vs list price

Median list price (chargemaster)$4,904
Median cash price$3,644
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.

How complete is this

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

What the 141 hospitals that filed this code at all gave us
Usable cash price — counted122
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded3
Hospitals that filed this code141

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 W/Stot/Tot Colct W/Mlt Bxs.

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, “Rectum and most of colon removed with pull-through (CPT 45121) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45121-rectum-and-most-of-colon-removed-with-pull-through