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Procedure price report · Other OR gastrointestinal therapeutic procedures

Open removal of an abdominal tumor or cyst, 10 to 20 cm

CPT 49188the billing code this page is about

Open surgery to remove or destroy a tumor, cyst, or similar growth inside the abdomen or behind the abdominal lining measuring just over 10 cm up to 20 cm.

Hospitals typically charge $3,156 cash for this outpatient procedure — the median across 182 hospitals that filed a usable cash price; the average of the middle 60% is $3,208. Most fall between $1,150 and $5,814 (20th–80th percentile).

Hospitals
182
States
32
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 182 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$1,752$3,156$5,190$9,086

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($398 vs $9,086).

How the prices are spread

$398 – $559: 19 hospitals$398$559 – $787: 6 hospitals$787 – $1,106: 2 hospitals$787$1,106 – $1,556: 7 hospitals$1,556 – $2,189: 25 hospitals$1,556$2,189 – $3,078: 20 hospitals$3,078 – $4,330: 36 hospitals$3,078$4,330 – $6,090: 23 hospitals$6,090 – $8,565: 12 hospitals$6,090$8,565 – $12,047: 14 hospitals$8,565median $3,156price bands are equal on a log scale
Hospitals per price band (164 of 182 — the bands cover the 5th to 95th percentile)
FromToHospitals
$398$55919
$559$7876
$787$1,1062
$1,106$1,5567
$1,556$2,18925
$2,189$3,07820
$3,078$4,33036
$4,330$6,09023
$6,090$8,56512
$8,565$12,04714

By state

The median cash price in each state, against the national median of $3,156.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $3,106 across 10 hospitalsIL$3,106Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,971 across 25 hospitalsMI$1,971New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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 $3,534 across 15 hospitalsIA$3,534Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,156 across 21 hospitalsPA$3,156New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $398 across 21 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: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 4 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: no hospital in the corpus filed a usable priceSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: 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: no hospital in the corpus filed a usable priceHITexas: 3 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 $3,156. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA15$3,534+12%$3,534 – $3,534
Pennsylvania PA21$3,1560%$211 – $8,653
Illinois IL10$3,106−2%$1,011 – $5,303
Michigan MI25$1,971−38%$1,971 – $2,924
California CA21$398−87%$398 – $398
Ohio OH9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Vermont VT1not 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 $3,156.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care154$3,106$695 – $5,814
Children’s3fewer than 20 hospitals
Critical access24$2,174$1,869 – $4,728
Ownership
For-profit10fewer than 20 hospitals
Government21$3,962$1,974 – $5,814
Non-profit150$2,952$695 – $5,462
System affiliation
Part of a system145$2,952$695 – $5,382
Independent37$4,500$1,951 – $6,130

Cash price vs list price

Median list price (chargemaster)$4,645
Median cash price$3,156
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

113 hospitals filed a usable inpatient cash price for this code. The median is $3,529 and the average of the middle 60% is $2,539; most fall between $398 and $5,365.

Cash price percentiles, inpatient, across 113 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$695$3,529$4,876$6,403

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($398 vs $6,403).

Of the 130 hospitals that filed this code inpatient, 113 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

182 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 220 hospitals that filed this code at all gave us
Usable cash price — counted182
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded23
Hospitals that filed this code220

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 Other OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Open Exc/Dstrj Intra-Abdl Tumor/Cst 10.1-20 Cm.

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, 10 to 20 cm (CPT 49188) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49188-open-removal-of-an-abdominal-tumor-or-cyst-10-to-20-cm