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Procedure price report · Other non-OR gastrointestinal therapeutic procedures

Image-guided fluid drainage through the vagina or rectum

CPT 49407the billing code this page is about

Drainage of an abscess or other fluid collection in the abdomen or pelvis using a catheter passed through the vagina or rectum with imaging guidance.

Hospitals typically charge $2,407 cash for this outpatient procedure — the median across 1,339 hospitals that filed a usable cash price; the average of the middle 60% is $2,576. Most fall between $1,352 and $4,509 (20th–80th percentile).

Hospitals
1,339
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 1,339 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
$807$1,576$2,407$3,994$6,133

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($807 vs $6,133).

How the prices are spread

$431 – $570: 21 hospitals$431$570 – $754: 36 hospitals$754 – $997: 46 hospitals$754$997 – $1,319: 75 hospitals$1,319 – $1,745: 157 hospitals$1,319$1,745 – $2,309: 230 hospitals$2,309 – $3,054: 242 hospitals$2,309$3,054 – $4,041: 134 hospitals$4,041 – $5,346: 151 hospitals$4,041$5,346 – $7,073: 128 hospitals$5,346median $2,407price bands are equal on a log scale
Hospitals per price band (1,220 of 1,339 — the bands cover the 5th to 95th percentile)
FromToHospitals
$431$57021
$570$75436
$754$99746
$997$1,31975
$1,319$1,745157
$1,745$2,309230
$2,309$3,054242
$3,054$4,041134
$4,041$5,346151
$5,346$7,073128

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$2,407
Cash as a multiple of Medicare1.43×

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 $2,407.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,320 across 37 hospitalsWA$2,320Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,735 across 33 hospitalsMN$1,735Illinois: median $2,938 across 60 hospitalsIL$2,938Wisconsin: median $2,827 across 58 hospitalsWI$2,827Michigan: median $2,462 across 52 hospitalsMI$2,462New York: median $2,510 across 62 hospitalsNY$2,510Massachusetts: median $2,314 across 22 hospitalsMA$2,314Oregon: median $1,973 across 26 hospitalsOR$1,973Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,821 across 17 hospitalsIA$1,821Indiana: median $2,331 across 28 hospitalsIN$2,331Ohio: median $2,976 across 89 hospitalsOH$2,976Pennsylvania: median $2,253 across 66 hospitalsPA$2,253New Jersey: median $4,668 across 47 hospitalsNJ$4,668Connecticut: median $2,624 across 11 hospitalsCT$2,624Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,403 across 125 hospitalsCA$3,403Utah: median $2,620 across 12 hospitalsUT$2,620Colorado: median $1,806 across 29 hospitalsCO$1,806Nebraska: median $2,407 across 11 hospitalsNE$2,407Missouri: median $1,976 across 28 hospitalsMO$1,976Kentucky: median $5,777 across 15 hospitalsKY$5,777West Virginia: median $214 across 11 hospitalsWV$214Virginia: median $1,836 across 26 hospitalsVA$1,836Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,117 across 12 hospitalsAZ$1,117New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $796 across 25 hospitalsTN$796North Carolina: median $1,584 across 28 hospitalsNC$1,584South Carolina: median $3,467 across 22 hospitalsSC$3,467Oklahoma: median $1,023 across 16 hospitalsOK$1,023Louisiana: median $1,255 across 22 hospitalsLA$1,255Mississippi: median $1,172 across 14 hospitalsMS$1,172Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,731 across 48 hospitalsGA$2,731Hawaii: median $2,478 across 10 hospitalsHI$2,478Texas: median $2,694 across 113 hospitalsTX$2,694Florida: median $2,436 across 66 hospitalsFL$2,436
Cash price by state, most expensive first. National median $2,407. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY15$5,777+140%$1,008 – $6,506
New Jersey NJ47$4,668+94%$1,793 – $6,508
South Carolina SC22$3,467+44%$3,467 – $4,469
California CA125$3,403+41%$1,684 – $7,073
Ohio OH89$2,976+24%$2,153 – $4,844
Illinois IL60$2,938+22%$859 – $4,484
Wisconsin WI58$2,827+17%$2,243 – $3,603
Georgia GA48$2,731+13%$1,852 – $3,343
Texas TX113$2,694+12%$1,558 – $4,639
Connecticut CT11$2,624+9%$2,312 – $6,400
Utah UT12$2,620+9%$2,620 – $2,620
New York NY62$2,510+4%$1,450 – $4,265
Hawaii HI10$2,478+3%$1,026 – $4,836
Michigan MI52$2,462+2%$232 – $3,036
Florida FL66$2,436+1%$1,328 – $4,761
Nebraska NE11$2,4070%$1,543 – $3,122
Indiana IN28$2,331−3%$2,022 – $3,421
Washington WA37$2,320−4%$1,822 – $2,536
Massachusetts MA22$2,314−4%$1,374 – $5,772
Pennsylvania PA66$2,253−6%$1,601 – $4,061
Missouri MO28$1,976−18%$1,191 – $3,692
Oregon OR26$1,973−18%$1,688 – $4,710
Virginia VA26$1,836−24%$1,518 – $2,101
Iowa IA17$1,821−24%$1,779 – $3,120
Colorado CO29$1,806−25%$1,514 – $5,005
Minnesota MN33$1,735−28%$1,352 – $2,056
North Carolina NC28$1,584−34%$1,098 – $2,006
Louisiana LA22$1,255−48%$584 – $2,397
Mississippi MS14$1,172−51%$836 – $1,468
Arizona AZ12$1,117−54%$958 – $2,027
Oklahoma OK16$1,023−58%$337 – $3,303
Tennessee TN25$796−67%$431 – $1,273
West Virginia WV11$214−91%$211 – $606
Alabama AL9not enough hospitals filed a usable price
Arkansas AR9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
South Dakota SD2not 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 $2,407.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,170$2,396$1,350 – $4,499
Children’s43$2,763$1,555 – $5,444
Critical access119$2,827$1,352 – $4,347
Ownership
For-profit126$2,496$1,298 – $4,765
Government148$1,987$1,138 – $3,822
Non-profit1,058$2,527$1,419 – $4,509
System affiliation
Part of a system1,195$2,510$1,400 – $4,509
Independent144$2,033$1,008 – $3,784

Cash price vs list price

Median list price (chargemaster)$4,342
Median cash price$2,407
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

1,063 hospitals filed a usable inpatient cash price for this code. The median is $2,562 and the average of the middle 60% is $2,672; most fall between $1,376 and $4,531.

Cash price percentiles, inpatient, across 1,063 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
$917$1,601$2,562$4,172$6,201

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($917 vs $6,201).

Of the 1,130 hospitals that filed this code inpatient, 1,063 gave a usable cash price; 32 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

1,339 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,437 hospitals that filed this code at all gave us
Usable cash price — counted1,339
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded41
Hospitals that filed this code1,437

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Image Fluid Collxn Drainag Cath Transrec/Vaginal.

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, “Image-guided fluid drainage through the vagina or rectum (CPT 49407) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49407-image-guided-fluid-drainage-through-the-vagina-or-rectum