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Procedure price report · Other OR gastrointestinal therapeutic procedures

Tying off an abdominal-to-vein shunt

CPT 49428the billing code this page is about

Surgery to tie off a previously placed shunt that drains fluid from the abdomen into a vein, stopping flow through it while leaving it in place.

Hospitals typically charge $1,057 cash for this outpatient procedure — the median across 141 hospitals that filed a usable cash price; the average of the middle 60% is $1,263. Most fall between $543 and $3,986 (20th–80th percentile).

Hospitals
141
States
34
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 141 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
$341$618$1,057$2,259$5,741

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($341 vs $5,741).

How the prices are spread

$291 – $403: 13 hospitals$291$403 – $557: 9 hospitals$557 – $771: 30 hospitals$557$771 – $1,066: 21 hospitals$1,066 – $1,474: 9 hospitals$1,066$1,474 – $2,039: 8 hospitals$2,039 – $2,820: 12 hospitals$2,039$2,820 – $3,900: 3 hospitals$3,900 – $5,394: 12 hospitals$3,900$5,394 – $7,459: 10 hospitals$5,394median $1,057price bands are equal on a log scale
Hospitals per price band (127 of 141 — the bands cover the 5th to 95th percentile)
FromToHospitals
$291$40313
$403$5579
$557$77130
$771$1,06621
$1,066$1,4749
$1,474$2,0398
$2,039$2,82012
$2,820$3,9003
$3,900$5,39412
$5,394$7,45910

By state

The median cash price in each state, against the national median of $1,057.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $572 across 12 hospitalsIL$572Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 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 $1,057 across 14 hospitalsIA$1,057Indiana: no hospital in the corpus filed a usable priceINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $279 across 10 hospitalsPA$279New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 2 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $2,259 across 10 hospitalsVA$2,259Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $709 across 14 hospitalsOK$709Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,057. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ12$5,110+384%$4,350 – $5,855
Virginia VA10$2,259+114%$2,111 – $2,259
Iowa IA14$1,0570%$1,057 – $1,057
Oklahoma OK14$709−33%$389 – $709
Illinois IL12$572−46%$341 – $4,842
Pennsylvania PA10$279−74%$231 – $316
Michigan MI7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
California CA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not 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
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Washington WA1not 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 $1,057.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care122$1,057$563 – $4,077
Children’s7fewer than 20 hospitals
Critical access12fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit115$1,057$520 – $4,350
System affiliation
Part of a system115$1,057$455 – $4,411
Independent26$922$668 – $1,611

Cash price vs list price

Median list price (chargemaster)$1,321
Median cash price$1,057
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

103 hospitals filed a usable inpatient cash price for this code. The median is $1,057 and the average of the middle 60% is $1,664; most fall between $617 and $4,901.

Cash price percentiles, inpatient, across 103 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
$407$709$1,057$4,224$7,014

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($407 vs $7,014).

Of the 114 hospitals that filed this code inpatient, 103 gave a usable cash price; 7 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

141 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 162 hospitals that filed this code at all gave us
Usable cash price — counted141
Cash price carrying a plausibility flag — shown on the compare tool, excluded here9
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded10
Hospitals that filed this code162

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 5, 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 Ligation 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, “Tying off an abdominal-to-vein shunt (CPT 49428) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49428-tying-off-an-abdominal-to-vein-shunt