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Procedure price report · Other OR gastrointestinal therapeutic procedures

Revision of an abdomen-to-vein shunt

CPT 49426the billing code this page is about

Surgery to repair or reposition a previously placed shunt that drains abdominal fluid into a vein.

Hospitals typically charge $3,579 cash for this outpatient procedure — the median across 417 hospitals that filed a usable cash price; the average of the middle 60% is $3,695. Most fall between $1,393 and $6,650 (20th–80th percentile).

Hospitals
417
States
43
Filings dated
Jun 2024 – 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 417 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
$1,081$1,780$3,579$5,647$8,798

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($1,081 vs $8,798).

How the prices are spread

$708 – $913: 7 hospitals$708$913 – $1,179: 36 hospitals$1,179 – $1,521: 21 hospitals$1,179$1,521 – $1,963: 30 hospitals$1,963 – $2,534: 26 hospitals$1,963$2,534 – $3,270: 49 hospitals$3,270 – $4,220: 60 hospitals$3,270$4,220 – $5,447: 39 hospitals$5,447 – $7,029: 49 hospitals$5,447$7,029 – $9,072: 60 hospitals$7,029median $3,579price bands are equal on a log scale
Hospitals per price band (377 of 417 — the bands cover the 5th to 95th percentile)
FromToHospitals
$708$9137
$913$1,17936
$1,179$1,52121
$1,521$1,96330
$1,963$2,53426
$2,534$3,27049
$3,270$4,22060
$4,220$5,44739
$5,447$7,02949
$7,029$9,07260

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,658
Median cash price$3,579
Cash as a multiple of Medicare0.98×

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 $3,579.

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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,817 across 18 hospitalsWA$3,817Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $2,435 across 21 hospitalsIL$2,435Wisconsin: median $4,582 across 11 hospitalsWI$4,582Michigan: median $2,844 across 14 hospitalsMI$2,844New York: median $4,176 across 24 hospitalsNY$4,176Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,237 across 10 hospitalsOR$1,237Nevada: 3 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 $1,634 across 14 hospitalsIA$1,634Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $7,086 across 28 hospitalsOH$7,086Pennsylvania: median $5,165 across 16 hospitalsPA$5,165New Jersey: median $4,156 across 29 hospitalsNJ$4,156Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $7,367 across 42 hospitalsCA$7,367Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,161 across 10 hospitalsCO$3,161Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: median $2,194 across 13 hospitalsVA$2,194Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,105 across 18 hospitalsOK$1,105Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $2,719 across 26 hospitalsTX$2,719Florida: median $5,647 across 24 hospitalsFL$5,647
Cash price by state, most expensive first. National median $3,579. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA42$7,367+106%$5,476 – $8,966
Ohio OH28$7,086+98%$2,707 – $7,105
Florida FL24$5,647+58%$2,959 – $8,798
Pennsylvania PA16$5,165+44%$2,622 – $6,980
Wisconsin WI11$4,582+28%$4,582 – $4,582
New York NY24$4,176+17%$1,699 – $4,250
New Jersey NJ29$4,156+16%$3,857 – $5,741
Washington WA18$3,817+7%$3,114 – $5,561
Colorado CO10$3,161−12%$2,209 – $6,019
Michigan MI14$2,844−21%$1,698 – $4,923
Texas TX26$2,719−24%$2,719 – $3,579
Illinois IL21$2,435−32%$1,019 – $7,604
Virginia VA13$2,194−39%$452 – $2,194
Iowa IA14$1,634−54%$1,634 – $1,896
Oregon OR10$1,237−65%$1,237 – $1,839
Oklahoma OK18$1,105−69%$1,105 – $2,834
Georgia GA9not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $3,579.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care373$3,660$1,634 – $6,839
Children’s11fewer than 20 hospitals
Critical access32$1,839$1,153 – $4,582
Ownership
For-profit41$3,660$1,105 – $7,367
Government47$2,160$1,258 – $4,176
Non-profit328$3,817$1,634 – $7,086
System affiliation
Part of a system360$3,906$1,634 – $7,086
Independent57$2,449$1,090 – $4,005

Cash price vs list price

Median list price (chargemaster)$6,040
Median cash price$3,579
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

298 hospitals filed a usable inpatient cash price for this code. The median is $3,338 and the average of the middle 60% is $4,056; most fall between $1,393 and $8,463.

Cash price percentiles, inpatient, across 298 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
$1,105$1,698$3,338$7,105$8,966

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($1,105 vs $8,966).

Of the 328 hospitals that filed this code inpatient, 298 gave a usable cash price; 17 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

417 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 449 hospitals that filed this code at all gave us
Usable cash price — counted417
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded9
Hospitals that filed this code449

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 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 Revis Peritoneal-Venous Shunt.

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, “Revision of an abdomen-to-vein shunt (CPT 49426) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49426-revision-of-an-abdomen-to-vein-shunt