Procedure price report · Other OR gastrointestinal therapeutic procedures

Open removal of an abdominal tumor or cyst, up to 5 cm

CPT code CPT 49186the billing code this page is about

Open surgery to remove or destroy a single tumor, cyst, or similar growth inside the abdomen or behind the abdominal lining measuring 5 cm or less.

Hospitals typically charge $2,327 cash for this outpatient procedure — the median across 281 hospitals that filed a usable cash price; the average of the middle 60% is $2,962. Most fall between $1,294 and $5,925 (20th–80th percentile).

Hospitals
281
States
41
Filings dated
Sep 2025 – 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 281 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
$596$1,511$2,327$4,291$6,780

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($596 vs $6,780).

How the prices are spread

$398 – $544: 26 hospitals$398$544 – $745: 4 hospitals$745 – $1,020: 8 hospitals$745$1,020 – $1,396: 28 hospitals$1,396 – $1,911: 25 hospitals$1,396$1,911 – $2,616: 61 hospitals$2,616 – $3,582: 39 hospitals$2,616$3,582 – $4,903: 24 hospitals$4,903 – $6,712: 32 hospitals$4,903$6,712 – $9,188: 20 hospitals$6,712median $2,327price bands are equal on a log scale
Hospitals per price band (267 of 281 — the bands cover the 5th to 95th percentile)
FromToHospitals
$398$54426
$544$7454
$745$1,0208
$1,020$1,39628
$1,396$1,91125
$1,911$2,61661
$2,616$3,58239
$3,582$4,90324
$4,903$6,71232
$6,712$9,18820

By state

The median cash price in each state, against the national median of $2,327.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $2,918 across 12 hospitalsMN$2,918Illinois: median $1,173 across 16 hospitalsIL$1,173Wisconsin: median $5,925 across 22 hospitalsWI$5,925Michigan: median $2,243 across 30 hospitalsMI$2,243New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,311 across 12 hospitalsOR$2,311Nevada: 4 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 $2,327 across 18 hospitalsIA$2,327Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $5,660 across 14 hospitalsPA$5,660New Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $398 across 24 hospitalsCA$398Utah: 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: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: no hospital in the corpus filed a usable priceNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 4 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: no hospital in the corpus filed a usable priceSCOklahoma: median $2,010 across 10 hospitalsOK$2,010Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,327. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI22$5,925+155%$5,925 – $11,051
Pennsylvania PA14$5,660+143%$3,156 – $8,246
Minnesota MN12$2,918+25%$2,918 – $3,173
Iowa IA18$2,3270%$2,327 – $3,193
Oregon OR12$2,311−1%$2,234 – $2,816
Michigan MI30$2,243−4%$1,822 – $2,243
Oklahoma OK10$2,010−14%$2,010 – $2,010
Illinois IL16$1,173−50%$777 – $3,561
California CA24$398−83%$398 – $467
New York NY9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not 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 $2,327.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care213$2,327$1,173 – $5,925
Children’s3fewer than 20 hospitals
Critical access64$2,419$1,386 – $5,925
Ownership
For-profit23$3,397$1,173 – $6,861
Government35$2,669$1,342 – $3,930
Non-profit222$2,327$1,222 – $5,925
System affiliation
Part of a system222$2,311$1,173 – $5,925
Independent59$2,730$1,545 – $4,291

Cash price vs list price

Median list price (chargemaster)$3,555
Median cash price$2,327
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

174 hospitals filed a usable inpatient cash price for this code. The median is $2,311 and the average of the middle 60% is $2,349; most fall between $921 and $4,066.

Cash price percentiles, inpatient, across 174 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
$398$1,173$2,311$3,635$5,925

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($398 vs $5,925).

Of the 199 hospitals that filed this code inpatient, 174 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 6 a list price only.

How complete is this

281 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 343 hospitals that filed this code at all gave us
Usable cash price — counted281
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded26
Hospitals that filed this code343

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.

Hospitals file this code under descriptions such as Open Exc/Dstrj Intra-Abdl Tumor/Cst 5 Cm or Less.

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, “Open removal of an abdominal tumor or cyst, up to 5 cm (CPT 49186) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49186-open-removal-of-an-abdominal-tumor-or-cyst-up-to-5-cm