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Procedure price report · Other non-OR gastrointestinal therapeutic procedures

Exchange of a drainage catheter using imaging guidance

CPT 49423the billing code this page is about

Replacement of an existing abscess or cyst drainage tube with a new one, done under imaging guidance.

Hospitals typically charge $2,192 cash for this outpatient procedure — the median across 1,821 hospitals that filed a usable cash price; the average of the middle 60% is $2,223. Most fall between $1,091 and $3,614 (20th–80th percentile).

Hospitals
1,821
States
50
Filings dated
Feb 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 1,821 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
$738$1,307$2,192$3,294$5,057

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($738 vs $5,057).

How the prices are spread

$484 – $625: 48 hospitals$484$625 – $807: 63 hospitals$807 – $1,041: 137 hospitals$807$1,041 – $1,344: 147 hospitals$1,344 – $1,734: 154 hospitals$1,344$1,734 – $2,239: 288 hospitals$2,239 – $2,889: 339 hospitals$2,239$2,889 – $3,729: 199 hospitals$3,729 – $4,813: 148 hospitals$3,729$4,813 – $6,212: 116 hospitals$4,813median $2,192price bands are equal on a log scale
Hospitals per price band (1,639 of 1,821 — the bands cover the 5th to 95th percentile)
FromToHospitals
$484$62548
$625$80763
$807$1,041137
$1,041$1,344147
$1,344$1,734154
$1,734$2,239288
$2,239$2,889339
$2,889$3,729199
$3,729$4,813148
$4,813$6,212116

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,192
Cash as a multiple of Medicare1.12×

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 $2,192.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,128 across 51 hospitalsWA$2,128Idaho: median $2,961 across 13 hospitalsID$2,961Montana: median $969 across 13 hospitalsMT$969North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,883 across 39 hospitalsMN$1,883Illinois: median $2,193 across 78 hospitalsIL$2,193Wisconsin: median $2,478 across 73 hospitalsWI$2,478Michigan: median $1,902 across 60 hospitalsMI$1,902New York: median $2,758 across 69 hospitalsNY$2,758Massachusetts: median $2,374 across 34 hospitalsMA$2,374Oregon: median $2,961 across 36 hospitalsOR$2,961Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,019 across 27 hospitalsIA$2,019Indiana: median $1,151 across 49 hospitalsIN$1,151Ohio: median $2,390 across 101 hospitalsOH$2,390Pennsylvania: median $2,800 across 91 hospitalsPA$2,800New Jersey: median $2,531 across 54 hospitalsNJ$2,531Connecticut: median $2,761 across 16 hospitalsCT$2,761Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,069 across 149 hospitalsCA$3,069Utah: median $1,992 across 26 hospitalsUT$1,992Colorado: median $1,747 across 35 hospitalsCO$1,747Nebraska: median $1,022 across 17 hospitalsNE$1,022Missouri: median $1,949 across 41 hospitalsMO$1,949Kentucky: median $1,390 across 19 hospitalsKY$1,390West Virginia: median $1,016 across 11 hospitalsWV$1,016Virginia: median $1,605 across 37 hospitalsVA$1,605Maryland: 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 $1,011 across 32 hospitalsAZ$1,011New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,006 across 14 hospitalsKS$1,006Arkansas: median $1,190 across 16 hospitalsAR$1,190Tennessee: median $803 across 38 hospitalsTN$803North Carolina: median $1,282 across 48 hospitalsNC$1,282South Carolina: median $3,338 across 37 hospitalsSC$3,338Oklahoma: median $926 across 33 hospitalsOK$926Louisiana: median $1,392 across 25 hospitalsLA$1,392Mississippi: median $936 across 31 hospitalsMS$936Alabama: median $1,413 across 18 hospitalsAL$1,413Georgia: median $1,863 across 59 hospitalsGA$1,863Hawaii: median $1,816 across 13 hospitalsHI$1,816Texas: median $2,163 across 149 hospitalsTX$2,163Florida: median $2,791 across 89 hospitalsFL$2,791
Cash price by state, most expensive first. National median $2,192. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC37$3,338+52%$2,071 – $3,829
California CA149$3,069+40%$1,971 – $5,654
Idaho ID13$2,961+35%$2,250 – $4,686
Oregon OR36$2,961+35%$2,280 – $4,259
Pennsylvania PA91$2,800+28%$1,137 – $4,902
Florida FL89$2,791+27%$1,935 – $4,400
Connecticut CT16$2,761+26%$2,334 – $4,578
New York NY69$2,758+26%$1,960 – $4,401
New Jersey NJ54$2,531+15%$2,100 – $5,339
Wisconsin WI73$2,478+13%$1,585 – $4,433
Ohio OH101$2,390+9%$1,297 – $3,486
Massachusetts MA34$2,374+8%$1,496 – $3,403
Illinois IL78$2,1930%$948 – $4,305
Texas TX149$2,163−1%$1,752 – $3,495
Washington WA51$2,128−3%$1,359 – $3,016
Iowa IA27$2,019−8%$1,316 – $3,086
Utah UT26$1,992−9%$1,992 – $2,343
Missouri MO41$1,949−11%$1,291 – $2,555
Michigan MI60$1,902−13%$257 – $3,199
Minnesota MN39$1,883−14%$1,330 – $2,799
Georgia GA59$1,863−15%$1,326 – $2,932
Hawaii HI13$1,816−17%$953 – $4,529
Colorado CO35$1,747−20%$1,169 – $3,421
Virginia VA37$1,605−27%$1,355 – $2,487
Alabama AL18$1,413−36%$1,080 – $2,359
Louisiana LA25$1,392−37%$794 – $2,936
Kentucky KY19$1,390−37%$664 – $7,617
North Carolina NC48$1,282−42%$738 – $2,523
Arkansas AR16$1,190−46%$1,059 – $1,588
Indiana IN49$1,151−48%$526 – $2,635
Nebraska NE17$1,022−53%$971 – $1,996
West Virginia WV11$1,016−54%$187 – $2,206
Arizona AZ32$1,011−54%$805 – $9,283
Kansas KS14$1,006−54%$902 – $3,422
Montana MT13$969−56%$789 – $2,036
Mississippi MS31$936−57%$755 – $1,224
Oklahoma OK33$926−58%$852 – $2,080
Tennessee TN38$803−63%$548 – $1,246
New Mexico NM9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT4not 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 $2,192.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,584$2,206$1,138 – $3,631
Children’s45$2,121$1,121 – $2,751
Critical access184$2,135$721 – $3,843
Ownership
For-profit174$2,257$1,214 – $4,985
Government220$1,838$848 – $2,841
Non-profit1,419$2,245$1,100 – $3,631
System affiliation
Part of a system1,598$2,206$1,091 – $3,596
Independent223$2,090$1,080 – $3,737

Cash price vs list price

Median list price (chargemaster)$3,855
Median cash price$2,192
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

1,411 hospitals filed a usable inpatient cash price for this code. The median is $2,240 and the average of the middle 60% is $2,284; most fall between $1,107 and $3,743.

Cash price percentiles, inpatient, across 1,411 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
$829$1,326$2,240$3,421$5,069

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($829 vs $5,069).

Of the 1,511 hospitals that filed this code inpatient, 1,411 gave a usable cash price; 44 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 55 a list price only.

How complete is this

1,821 of the 3,956 hospitals with a price file in our corpus (46%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,966 hospitals that filed this code at all gave us
Usable cash price — counted1,821
Cash price carrying a plausibility flag — shown on the compare tool, excluded here76
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded63
Hospitals that filed this code1,966

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 Exchng Absc/Cst Drg Cath Rad Gid Spx.

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, “Exchange of a drainage catheter using imaging guidance (CPT 49423) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49423-exchange-of-a-drainage-catheter-using-imaging-guidance