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Procedure price report · Other OR gastrointestinal therapeutic procedures

Open placement of tunneled abdominal dialysis catheter

CPT 49421the billing code this page is about

Open surgical placement of a tunneled catheter into the abdominal cavity for peritoneal dialysis.

Hospitals typically charge $3,944 cash for this outpatient procedure — the median across 981 hospitals that filed a usable cash price; the average of the middle 60% is $3,979. Most fall between $1,388 and $7,400 (20th–80th percentile).

Hospitals
981
States
50
Filings dated
Jun 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 981 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
$608$1,906$3,944$6,117$10,552

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($608 vs $10,552).

How the prices are spread

$401 – $571: 42 hospitals$401$571 – $814: 43 hospitals$814 – $1,159: 51 hospitals$814$1,159 – $1,652: 38 hospitals$1,652 – $2,354: 73 hospitals$1,652$2,354 – $3,354: 126 hospitals$3,354 – $4,779: 180 hospitals$3,354$4,779 – $6,809: 162 hospitals$6,809 – $9,702: 88 hospitals$6,809$9,702 – $13,824: 80 hospitals$9,702median $3,944price bands are equal on a log scale
Hospitals per price band (883 of 981 — the bands cover the 5th to 95th percentile)
FromToHospitals
$401$57142
$571$81443
$814$1,15951
$1,159$1,65238
$1,652$2,35473
$2,354$3,354126
$3,354$4,779180
$4,779$6,809162
$6,809$9,70288
$9,702$13,82480

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,658
Median cash price$3,944
Cash as a multiple of Medicare1.08×

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 $3,944.

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: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,681 across 37 hospitalsWA$4,681Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,552 across 30 hospitalsMN$1,552Illinois: median $3,597 across 49 hospitalsIL$3,597Wisconsin: median $2,514 across 49 hospitalsWI$2,514Michigan: median $1,142 across 40 hospitalsMI$1,142New York: median $4,176 across 42 hospitalsNY$4,176Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $764 across 25 hospitalsOR$764Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,047 across 21 hospitalsIA$1,047Indiana: median $2,880 across 17 hospitalsIN$2,880Ohio: median $5,256 across 63 hospitalsOH$5,256Pennsylvania: median $4,714 across 38 hospitalsPA$4,714New Jersey: median $4,500 across 42 hospitalsNJ$4,500Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,282 across 90 hospitalsCA$6,282Utah: median $4,798 across 24 hospitalsUT$4,798Colorado: median $2,980 across 15 hospitalsCO$2,980Nebraska: median $1,206 across 14 hospitalsNE$1,206Missouri: median $3,622 across 24 hospitalsMO$3,622Kentucky: median $931 across 12 hospitalsKY$931West Virginia: median $3,333 across 11 hospitalsWV$3,333Virginia: median $3,451 across 20 hospitalsVA$3,451Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,935 across 13 hospitalsNC$1,935South Carolina: median $4,225 across 10 hospitalsSC$4,225Oklahoma: median $372 across 17 hospitalsOK$372Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $2,417 across 11 hospitalsAL$2,417Georgia: median $2,675 across 16 hospitalsGA$2,675Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,657 across 83 hospitalsTX$4,657Florida: median $5,647 across 43 hospitalsFL$5,647
Cash price by state, most expensive first. National median $3,944. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA90$6,282+59%$3,683 – $11,441
Florida FL43$5,647+43%$2,865 – $10,503
Ohio OH63$5,256+33%$4,708 – $10,477
Utah UT24$4,798+22%$4,798 – $5,644
Pennsylvania PA38$4,714+20%$2,813 – $6,650
Washington WA37$4,681+19%$1,927 – $7,400
Texas TX83$4,657+18%$3,304 – $11,865
New Jersey NJ42$4,500+14%$3,857 – $5,741
South Carolina SC10$4,225+7%$2,162 – $6,357
New York NY42$4,176+6%$680 – $7,545
Missouri MO24$3,622−8%$583 – $4,101
Illinois IL49$3,597−9%$1,226 – $6,707
Virginia VA20$3,451−12%$3,191 – $4,746
West Virginia WV11$3,333−15%$845 – $4,349
Colorado CO15$2,980−24%$2,577 – $8,274
Indiana IN17$2,880−27%$452 – $6,050
Georgia GA16$2,675−32%$1,158 – $2,675
Wisconsin WI49$2,514−36%$1,906 – $3,408
Alabama AL11$2,417−39%$1,158 – $4,795
North Carolina NC13$1,935−51%$805 – $2,839
Minnesota MN30$1,552−61%$1,123 – $2,277
Nebraska NE14$1,206−69%$491 – $2,587
Michigan MI40$1,142−71%$1,078 – $4,923
Iowa IA21$1,047−73%$561 – $5,797
Kentucky KY12$931−76%$347 – $14,171
Oregon OR25$764−81%$411 – $7,995
Oklahoma OK17$372−91%$372 – $7,195
Arizona AZ9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not 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 $3,944.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care836$4,156$1,750 – $7,729
Children’s20$3,929$870 – $8,987
Critical access119$1,906$583 – $4,830
Ownership
For-profit90$4,657$1,532 – $11,090
Government115$3,239$792 – $6,117
Non-profit770$3,981$1,501 – $7,219
System affiliation
Part of a system847$4,176$1,750 – $7,694
Independent134$2,577$491 – $6,333

Cash price vs list price

Median list price (chargemaster)$6,681
Median cash price$3,944
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

718 hospitals filed a usable inpatient cash price for this code. The median is $3,984 and the average of the middle 60% is $4,095; most fall between $1,521 and $7,883.

Cash price percentiles, inpatient, across 718 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
$561$1,927$3,984$6,131$10,552

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($561 vs $10,552).

Of the 786 hospitals that filed this code inpatient, 718 gave a usable cash price; 43 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

981 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,077 hospitals that filed this code at all gave us
Usable cash price — counted981
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded27
Hospitals that filed this code1,077

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 PR Insert Abdom Drain/Cath,Perman.

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 placement of tunneled abdominal dialysis catheter (CPT 49421) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49421-open-placement-of-tunneled-abdominal-dialysis-catheter