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Procedure price report · Other OR gastrointestinal therapeutic procedures

Tunneled extension added to an abdominal catheter

CPT 49435the billing code this page is about

Placement of a tube extension under the skin so an abdominal (peritoneal) catheter exits at a remote site such as the chest; billed in addition to the catheter insertion.

Hospitals typically charge $720 cash for this outpatient procedure — the median across 232 hospitals that filed a usable cash price; the average of the middle 60% is $1,125. Most fall between $193 and $3,205 (20th–80th percentile).

Hospitals
232
States
41
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 232 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
$119$224$720$2,850$5,029

The most expensive tenth of hospitals charges at least 42× what the cheapest tenth charges ($119 vs $5,029).

How the prices are spread

$96 – $144: 21 hospitals$96$144 – $216: 25 hospitals$216 – $323: 29 hospitals$216$323 – $483: 13 hospitals$483 – $722: 19 hospitals$483$722 – $1,081: 9 hospitals$1,081 – $1,617: 21 hospitals$1,081$1,617 – $2,420: 4 hospitals$2,420 – $3,621: 38 hospitals$2,420$3,621 – $5,419: 31 hospitals$3,621median $720price bands are equal on a log scale
Hospitals per price band (210 of 232 — the bands cover the 5th to 95th percentile)
FromToHospitals
$96$14421
$144$21625
$216$32329
$323$48313
$483$72219
$722$1,0819
$1,081$1,61721
$1,617$2,4204
$2,420$3,62138
$3,621$5,41931

By state

The median cash price in each state, against the national median of $720.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $730 across 11 hospitalsMN$730Illinois: median $294 across 15 hospitalsIL$294Wisconsin: median $720 across 13 hospitalsWI$720Michigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 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 $294 across 16 hospitalsIA$294Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $90 across 17 hospitalsPA$90New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,029 across 34 hospitalsCA$5,029Utah: 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: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $193 across 10 hospitalsOK$193Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,480 across 16 hospitalsTX$2,480Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $720. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ12$5,110+610%$4,350 – $5,855
California CA34$5,029+598%$2,850 – $5,029
Texas TX16$2,480+244%$2,480 – $2,480
Minnesota MN11$730+1%$623 – $730
Wisconsin WI13$7200%$720 – $1,140
Iowa IA16$294−59%$294 – $294
Illinois IL15$294−59%$96 – $1,409
Oklahoma OK10$193−73%$193 – $193
Pennsylvania PA17$90−88%$73 – $440
Ohio OH9not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not 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 $720.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care199$730$193 – $3,986
Children’s5fewer than 20 hospitals
Critical access28$720$186 – $1,140
Ownership
For-profit18fewer than 20 hospitals
Government19fewer than 20 hospitals
Non-profit195$730$193 – $3,463
System affiliation
Part of a system194$730$193 – $3,205
Independent38$307$186 – $4,168

Cash price vs list price

Median list price (chargemaster)$830
Median cash price$720
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

165 hospitals filed a usable inpatient cash price for this code. The median is $491 and the average of the middle 60% is $1,093; most fall between $193 and $2,850.

Cash price percentiles, inpatient, across 165 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
$140$220$491$2,850$5,029

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($140 vs $5,029).

Of the 175 hospitals that filed this code inpatient, 165 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

232 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 250 hospitals that filed this code at all gave us
Usable cash price — counted232
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded1
Hospitals that filed this code250

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 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 Insj Subq Extension Intraperitoneal Catheter.

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 extension added to an abdominal catheter (CPT 49435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49435-tunneled-extension-added-to-an-abdominal-catheter