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Procedure price report · Other OR gastrointestinal therapeutic procedures

Open removal of an abdominal tumor or cyst, 20 to 30 cm

CPT 49189the 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 20 cm up to 30 cm.

Hospitals typically charge $3,214 cash for this outpatient procedure — the median across 167 hospitals that filed a usable cash price; the average of the middle 60% is $3,295. Most fall between $1,034 and $6,244 (20th–80th percentile).

Hospitals
167
States
35
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 167 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$2,074$3,214$5,638$8,653

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($398 vs $8,653).

How the prices are spread

$379 – $533: 20 hospitals$379$533 – $750: 0 hospitals$750 – $1,054: 6 hospitals$750$1,054 – $1,482: 4 hospitals$1,482 – $2,083: 13 hospitals$1,482$2,083 – $2,929: 29 hospitals$2,929 – $4,117: 37 hospitals$2,929$4,117 – $5,788: 13 hospitals$5,788 – $8,138: 19 hospitals$5,788$8,138 – $11,440: 16 hospitals$8,138median $3,214price bands are equal on a log scale
Hospitals per price band (157 of 167 — the bands cover the 5th to 95th percentile)
FromToHospitals
$379$53320
$533$7500
$750$1,0546
$1,054$1,4824
$1,482$2,08313
$2,083$2,92929
$2,929$4,11737
$4,117$5,78813
$5,788$8,13819
$8,138$11,44016

By state

The median cash price in each state, against the national median of $3,214.

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: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $2,293 across 21 hospitalsMI$2,293New York: 4 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $4,110 across 14 hospitalsIA$4,110Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,156 across 19 hospitalsPA$3,156New Jersey: 1 hospital 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 20 hospitalsCA$398Utah: no hospital in the corpus filed a usable priceUTColorado: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 5 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: median $2,633 across 11 hospitalsSC$2,633Oklahoma: 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: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,214. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA14$4,110+28%$4,110 – $4,110
Pennsylvania PA19$3,156−2%$297 – $8,653
South Carolina SC11$2,633−18%$2,633 – $2,633
Michigan MI21$2,293−29%$2,293 – $3,222
California CA20$398−88%$398 – $398
Illinois IL9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
New York NY4not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not 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
Washington WA2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not 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
New Jersey NJ1not 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 $3,214.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care153$3,222$808 – $6,260
Children’s2fewer than 20 hospitals
Critical access11fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit140$2,633$790 – $5,720
System affiliation
Part of a system140$2,633$398 – $6,035
Independent27$4,290$2,384 – $6,762

Cash price vs list price

Median list price (chargemaster)$5,246
Median cash price$3,214
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

124 hospitals filed a usable inpatient cash price for this code. The median is $2,745 and the average of the middle 60% is $2,507; most fall between $398 and $5,638.

Cash price percentiles, inpatient, across 124 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$808$2,745$4,110$6,656

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($398 vs $6,656).

Of the 132 hospitals that filed this code inpatient, 124 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

167 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 196 hospitals that filed this code at all gave us
Usable cash price — counted167
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded21
Hospitals that filed this code196

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 PR Open Exc/Dstrj Intra-Abdl Tumor/Cst 20.1-30 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, 20 to 30 cm (CPT 49189) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49189-open-removal-of-an-abdominal-tumor-or-cyst-20-to-30-cm