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Procedure price report · Other OR gastrointestinal therapeutic procedures

Tunneled abdominal drainage catheter placed through the skin

CPT 49418the billing code this page is about

Needle placement of a long-term catheter tunneled under the skin into the abdominal cavity for dialysis, chemotherapy instillation, or drainage of fluid, including imaging and contrast when used.

Hospitals typically charge $4,709 cash for this outpatient procedure — the median across 1,892 hospitals that filed a usable cash price; the average of the middle 60% is $4,940. Most fall between $2,545 and $8,497 (20th–80th percentile).

Hospitals
1,892
States
50
Filings dated
Mar 2023 – 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 1,892 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
$1,483$2,925$4,709$7,374$11,324

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($1,483 vs $11,324).

How the prices are spread

$802 – $1,065: 21 hospitals$802$1,065 – $1,413: 61 hospitals$1,413 – $1,876: 80 hospitals$1,413$1,876 – $2,490: 114 hospitals$2,490 – $3,305: 181 hospitals$2,490$3,305 – $4,386: 309 hospitals$4,386 – $5,821: 342 hospitals$4,386$5,821 – $7,726: 267 hospitals$7,726 – $10,254: 143 hospitals$7,726$10,254 – $13,609: 186 hospitals$10,254median $4,709price bands are equal on a log scale
Hospitals per price band (1,704 of 1,892 — the bands cover the 5th to 95th percentile)
FromToHospitals
$802$1,06521
$1,065$1,41361
$1,413$1,87680
$1,876$2,490114
$2,490$3,305181
$3,305$4,386309
$4,386$5,821342
$5,821$7,726267
$7,726$10,254143
$10,254$13,609186

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,658
Median cash price$4,709
Cash as a multiple of Medicare1.29×

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 $4,709.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $3,532 across 10 hospitalsME$3,532Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $3,622 across 11 hospitalsNH$3,622Washington: median $4,850 across 45 hospitalsWA$4,850Idaho: median $5,682 across 16 hospitalsID$5,682Montana: median $2,185 across 11 hospitalsMT$2,185North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,012 across 57 hospitalsMN$4,012Illinois: median $3,824 across 79 hospitalsIL$3,824Wisconsin: median $3,965 across 68 hospitalsWI$3,965Michigan: median $3,728 across 64 hospitalsMI$3,728New York: median $4,176 across 64 hospitalsNY$4,176Massachusetts: median $5,870 across 37 hospitalsMA$5,870Oregon: median $3,798 across 36 hospitalsOR$3,798Nevada: median $3,894 across 10 hospitalsNV$3,894Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $5,566 across 11 hospitalsSD$5,566Iowa: median $3,307 across 27 hospitalsIA$3,307Indiana: median $3,160 across 56 hospitalsIN$3,160Ohio: median $7,009 across 105 hospitalsOH$7,009Pennsylvania: median $6,828 across 89 hospitalsPA$6,828New Jersey: median $4,627 across 51 hospitalsNJ$4,627Connecticut: median $5,430 across 16 hospitalsCT$5,430Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,627 across 149 hospitalsCA$5,627Utah: median $4,765 across 26 hospitalsUT$4,765Colorado: median $3,348 across 38 hospitalsCO$3,348Nebraska: median $2,840 across 25 hospitalsNE$2,840Missouri: median $3,924 across 48 hospitalsMO$3,924Kentucky: median $5,138 across 29 hospitalsKY$5,138West Virginia: median $3,333 across 13 hospitalsWV$3,333Virginia: median $4,775 across 41 hospitalsVA$4,775Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,002 across 32 hospitalsAZ$3,002New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,276 across 29 hospitalsKS$3,276Arkansas: median $2,671 across 15 hospitalsAR$2,671Tennessee: median $1,555 across 41 hospitalsTN$1,555North Carolina: median $3,915 across 46 hospitalsNC$3,915South Carolina: median $7,374 across 32 hospitalsSC$7,374Oklahoma: median $3,146 across 31 hospitalsOK$3,146Louisiana: median $4,530 across 29 hospitalsLA$4,530Mississippi: median $2,672 across 29 hospitalsMS$2,672Alabama: median $4,032 across 21 hospitalsAL$4,032Georgia: median $7,559 across 56 hospitalsGA$7,559Hawaii: median $3,041 across 12 hospitalsHI$3,041Texas: median $5,675 across 138 hospitalsTX$5,675Florida: median $5,891 across 101 hospitalsFL$5,891
Cash price by state, most expensive first. National median $4,709. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA56$7,559+61%$5,036 – $13,079
South Carolina SC32$7,374+57%$4,698 – $7,618
Ohio OH105$7,009+49%$3,993 – $10,552
Pennsylvania PA89$6,828+45%$3,066 – $11,945
Florida FL101$5,891+25%$4,307 – $11,773
Massachusetts MA37$5,870+25%$4,082 – $9,764
Idaho ID16$5,682+21%$3,475 – $8,630
Texas TX138$5,675+21%$3,579 – $11,073
California CA149$5,627+19%$3,268 – $10,637
South Dakota SD11$5,566+18%$5,566 – $6,500
Connecticut CT16$5,430+15%$4,760 – $7,630
Kentucky KY29$5,138+9%$1,394 – $13,983
Washington WA45$4,850+3%$2,690 – $7,356
Virginia VA41$4,775+1%$3,338 – $5,377
Utah UT26$4,765+1%$4,765 – $5,606
New Jersey NJ51$4,627−2%$3,906 – $6,311
Louisiana LA29$4,530−4%$2,524 – $8,269
New York NY64$4,176−11%$2,717 – $7,635
Alabama AL21$4,032−14%$2,941 – $8,497
Minnesota MN57$4,012−15%$1,853 – $5,873
Wisconsin WI68$3,965−16%$2,971 – $7,046
Missouri MO48$3,924−17%$2,467 – $6,120
North Carolina NC46$3,915−17%$2,245 – $4,460
Nevada NV10$3,894−17%$2,370 – $6,634
Illinois IL79$3,824−19%$1,750 – $7,999
Oregon OR36$3,798−19%$562 – $8,486
Michigan MI64$3,728−21%$1,724 – $6,846
New Hampshire NH11$3,622−23%$250 – $7,006
Maine ME10$3,532−25%$1,299 – $5,976
Colorado CO38$3,348−29%$2,550 – $7,766
West Virginia WV13$3,333−29%$618 – $4,601
Iowa IA27$3,307−30%$2,495 – $7,080
Kansas KS29$3,276−30%$1,372 – $7,094
Indiana IN56$3,160−33%$1,726 – $6,925
Oklahoma OK31$3,146−33%$2,197 – $5,619
Hawaii HI12$3,041−35%$1,095 – $5,123
Arizona AZ32$3,002−36%$2,389 – $19,348
Nebraska NE25$2,840−40%$1,591 – $4,768
Mississippi MS29$2,672−43%$1,808 – $3,068
Arkansas AR15$2,671−43%$471 – $3,474
Montana MT11$2,185−54%$1,750 – $4,361
Tennessee TN41$1,555−67%$1,121 – $3,134
North Dakota ND8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY4not 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 $4,709.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,632$4,815$2,777 – $8,815
Children’s30$4,444$1,808 – $10,368
Critical access221$3,348$1,256 – $6,253
Ownership
For-profit192$5,675$3,195 – $11,645
Government257$3,765$1,780 – $6,500
Non-profit1,434$4,765$2,670 – $8,359
System affiliation
Part of a system1,622$4,815$2,672 – $8,902
Independent270$3,693$1,822 – $6,465

Cash price vs list price

Median list price (chargemaster)$8,497
Median cash price$4,709
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

1,431 hospitals filed a usable inpatient cash price for this code. The median is $5,036 and the average of the middle 60% is $5,332; most fall between $2,802 and $9,347.

Cash price percentiles, inpatient, across 1,431 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
$1,750$3,185$5,036$7,858$11,494

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($1,750 vs $11,494).

Of the 1,561 hospitals that filed this code inpatient, 1,431 gave a usable cash price; 61 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 68 a list price only.

How complete is this

1,892 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,065 hospitals that filed this code at all gave us
Usable cash price — counted1,892
Cash price carrying a plausibility flag — shown on the compare tool, excluded here93
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded75
Hospitals that filed this code2,065

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 OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Insj Intraperitoneal Catheter W/Img Guid.

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, “Tunneled abdominal drainage catheter placed through the skin (CPT 49418) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49418-tunneled-abdominal-drainage-catheter-placed-through-the-skin