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Procedure price report · Exploratory laparotomy

Exploratory surgery of the area behind the abdominal cavity

CPT 49010the billing code this page is about

Open surgery to examine the retroperitoneal space, the area behind the abdominal lining that holds the kidneys and major blood vessels, with or without a tissue sample.

Hospitals typically charge $2,120 cash for this outpatient procedure — the median across 380 hospitals that filed a usable cash price; the average of the middle 60% is $2,307. Most fall between $1,233 and $4,563 (20th–80th percentile).

Hospitals
380
States
48
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 380 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
$1,012$1,376$2,120$3,986$6,392

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($1,012 vs $6,392).

How the prices are spread

$756 – $961: 14 hospitals$756$961 – $1,221: 41 hospitals$1,221 – $1,551: 44 hospitals$1,221$1,551 – $1,971: 64 hospitals$1,971 – $2,503: 49 hospitals$1,971$2,503 – $3,180: 39 hospitals$3,180 – $4,041: 16 hospitals$3,180$4,041 – $5,133: 41 hospitals$5,133 – $6,521: 17 hospitals$5,133$6,521 – $8,285: 18 hospitals$6,521median $2,120price bands are equal on a log scale
Hospitals per price band (343 of 380 — the bands cover the 5th to 95th percentile)
FromToHospitals
$756$96114
$961$1,22141
$1,221$1,55144
$1,551$1,97164
$1,971$2,50349
$2,503$3,18039
$3,180$4,04116
$4,041$5,13341
$5,133$6,52117
$6,521$8,28518

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,614
Median cash price$2,120
Cash as a multiple of Medicare0.32×

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 $2,120.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,781 across 11 hospitalsWA$1,781Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 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 $1,165 across 12 hospitalsMN$1,165Illinois: median $1,724 across 16 hospitalsIL$1,724Wisconsin: median $4,739 across 22 hospitalsWI$4,739Michigan: median $1,715 across 28 hospitalsMI$1,715New York: median $2,803 across 30 hospitalsNY$2,803Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,895 across 15 hospitalsOR$1,895Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,276 across 19 hospitalsIA$2,276Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,306 across 12 hospitalsOH$2,306Pennsylvania: median $2,702 across 13 hospitalsPA$2,702New Jersey: median $5,339 across 16 hospitalsNJ$5,339Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,694 across 12 hospitalsCA$1,694Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,041 across 12 hospitalsWV$1,041Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,935 across 12 hospitalsOK$1,935Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,233 across 13 hospitalsGA$1,233Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,120. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ16$5,339+152%$4,350 – $6,839
Wisconsin WI22$4,739+124%$2,880 – $4,739
New York NY30$2,803+32%$1,491 – $6,614
Pennsylvania PA13$2,702+27%$2,227 – $9,340
Ohio OH12$2,306+9%$1,431 – $4,176
Iowa IA19$2,276+7%$1,952 – $2,276
Oklahoma OK12$1,935−9%$1,935 – $1,935
Oregon OR15$1,895−11%$1,693 – $2,510
Washington WA11$1,781−16%$1,595 – $4,178
Illinois IL16$1,724−19%$1,105 – $3,059
Michigan MI28$1,715−19%$1,674 – $4,739
California CA12$1,694−20%$1,350 – $2,593
Georgia GA13$1,233−42%$1,233 – $3,378
Minnesota MN12$1,165−45%$887 – $2,937
West Virginia WV12$1,041−51%$1,022 – $2,385
Indiana IN9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,120.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care268$2,272$1,233 – $4,739
Children’s10fewer than 20 hospitals
Critical access101$1,957$1,106 – $3,582
Ownership
For-profit35$2,588$1,105 – $7,606
Government73$1,957$1,184 – $3,378
Non-profit271$2,273$1,255 – $4,627
System affiliation
Part of a system283$2,139$1,233 – $4,739
Independent97$2,120$1,307 – $4,161

Cash price vs list price

Median list price (chargemaster)$2,845
Median cash price$2,120
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

228 hospitals filed a usable inpatient cash price for this code. The median is $1,922 and the average of the middle 60% is $1,908; most fall between $1,105 and $3,170.

Cash price percentiles, inpatient, across 228 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
$931$1,233$1,922$2,666$4,739

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($931 vs $4,739).

Of the 266 hospitals that filed this code inpatient, 228 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

380 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 455 hospitals that filed this code at all gave us
Usable cash price — counted380
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
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 — excluded28
Hospitals that filed this code455

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 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 Exploratory laparotomy family.

Hospitals file this code under descriptions such as Expl Retroperitoneum W/WO Bx Spx.

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, “Exploratory surgery of the area behind the abdominal cavity (CPT 49010) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49010-exploratory-surgery-of-the-area-behind-the-abdominal-cavity