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Procedure price report · Ileostomy and other enterostomy

Colon tube placed through the skin with imaging

CPT 49442the billing code this page is about

Placement of a tube into the cecum or another part of the colon through the skin of the abdomen, using imaging guidance, usually to flush or vent the bowel.

Hospitals typically charge $1,993 cash for this outpatient procedure — the median across 831 hospitals that filed a usable cash price; the average of the middle 60% is $2,172. Most fall between $1,207 and $3,701 (20th–80th percentile).

Hospitals
831
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 831 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
$807$1,339$1,993$3,284$6,229

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($807 vs $6,229).

How the prices are spread

$436 – $584: 13 hospitals$436$584 – $782: 26 hospitals$782 – $1,047: 42 hospitals$782$1,047 – $1,402: 126 hospitals$1,402 – $1,878: 146 hospitals$1,402$1,878 – $2,514: 117 hospitals$2,514 – $3,367: 124 hospitals$2,514$3,367 – $4,508: 72 hospitals$4,508 – $6,037: 37 hospitals$4,508$6,037 – $8,083: 50 hospitals$6,037median $1,993price bands are equal on a log scale
Hospitals per price band (753 of 831 — the bands cover the 5th to 95th percentile)
FromToHospitals
$436$58413
$584$78226
$782$1,04742
$1,047$1,402126
$1,402$1,878146
$1,878$2,514117
$2,514$3,367124
$3,367$4,50872
$4,508$6,03737
$6,037$8,08350

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,993
Cash as a multiple of Medicare1.63×

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 $1,993.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,788 across 23 hospitalsWA$1,788Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,284 across 19 hospitalsMN$3,284Illinois: median $2,099 across 42 hospitalsIL$2,099Wisconsin: median $2,259 across 26 hospitalsWI$2,259Michigan: median $2,251 across 42 hospitalsMI$2,251New York: median $1,395 across 33 hospitalsNY$1,395Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,170 across 18 hospitalsIA$2,170Indiana: median $1,654 across 30 hospitalsIN$1,654Ohio: median $3,526 across 42 hospitalsOH$3,526Pennsylvania: median $1,926 across 43 hospitalsPA$1,926New Jersey: median $3,786 across 34 hospitalsNJ$3,786Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $2,860 across 64 hospitalsCA$2,860Utah: median $1,501 across 26 hospitalsUT$1,501Colorado: median $1,098 across 18 hospitalsCO$1,098Nebraska: median $1,262 across 10 hospitalsNE$1,262Missouri: median $2,576 across 19 hospitalsMO$2,576Kentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,079 across 17 hospitalsVA$3,079Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,347 across 17 hospitalsAZ$3,347New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $747 across 11 hospitalsTN$747North Carolina: median $1,487 across 20 hospitalsNC$1,487South Carolina: median $1,765 across 16 hospitalsSC$1,765Oklahoma: median $337 across 16 hospitalsOK$337Louisiana: median $1,272 across 12 hospitalsLA$1,272Mississippi: median $807 across 12 hospitalsMS$807Alabama: median $1,870 across 11 hospitalsAL$1,870Georgia: median $6,229 across 17 hospitalsGA$6,229Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,295 across 66 hospitalsTX$2,295Florida: median $3,238 across 51 hospitalsFL$3,238
Cash price by state, most expensive first. National median $1,993. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA17$6,229+212%$1,766 – $9,521
New Jersey NJ34$3,786+90%$1,306 – $6,311
Ohio OH42$3,526+77%$1,489 – $6,204
Arizona AZ17$3,347+68%$1,017 – $8,083
Minnesota MN19$3,284+65%$1,719 – $5,337
Florida FL51$3,238+62%$1,794 – $8,344
Virginia VA17$3,079+54%$2,290 – $3,294
California CA64$2,860+43%$1,916 – $6,384
Missouri MO19$2,576+29%$1,081 – $3,651
Texas TX66$2,295+15%$1,010 – $4,723
Wisconsin WI26$2,259+13%$2,063 – $2,570
Michigan MI42$2,251+13%$1,200 – $3,701
Iowa IA18$2,170+9%$1,908 – $2,420
Illinois IL42$2,099+5%$971 – $2,581
Pennsylvania PA43$1,926−3%$1,380 – $2,816
Alabama AL11$1,870−6%$1,068 – $3,169
Washington WA23$1,788−10%$1,237 – $2,564
South Carolina SC16$1,765−11%$1,765 – $2,105
Indiana IN30$1,654−17%$1,049 – $2,669
Utah UT26$1,501−25%$1,387 – $1,631
North Carolina NC20$1,487−25%$1,134 – $1,525
New York NY33$1,395−30%$1,223 – $3,532
Louisiana LA12$1,272−36%$970 – $1,869
Nebraska NE10$1,262−37%$1,179 – $1,407
Colorado CO18$1,098−45%$1,098 – $3,048
Mississippi MS12$807−60%$737 – $861
Tennessee TN11$747−63%$401 – $1,496
Oklahoma OK16$337−83%$337 – $1,801
Arkansas AR8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,993.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care730$1,954$1,200 – $3,701
Children’s32$1,872$1,272 – $5,213
Critical access64$2,259$1,200 – $3,234
Ownership
For-profit73$2,330$1,068 – $7,204
Government95$1,548$1,112 – $3,169
Non-profit658$2,104$1,253 – $3,543
System affiliation
Part of a system741$2,105$1,262 – $3,701
Independent90$1,525$853 – $2,973

Cash price vs list price

Median list price (chargemaster)$3,531
Median cash price$1,993
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

645 hospitals filed a usable inpatient cash price for this code. The median is $2,235 and the average of the middle 60% is $2,298; most fall between $1,262 and $3,701.

Cash price percentiles, inpatient, across 645 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
$779$1,387$2,235$3,294$6,384

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($779 vs $6,384).

Of the 685 hospitals that filed this code inpatient, 645 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

831 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 876 hospitals that filed this code at all gave us
Usable cash price — counted831
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded17
Hospitals that filed this code876

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 Ileostomy and other enterostomy family.

Hospitals file this code under descriptions such as Insert Cecostomy/Other Colonic Tube Percutaneous.

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, “Colon tube placed through the skin with imaging (CPT 49442) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49442-colon-tube-placed-through-the-skin-with-imaging