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Procedure price report · Ileostomy and other enterostomy

Stomach tube changed to a stomach-to-intestine tube

CPT 49446the billing code this page is about

Conversion of an existing stomach feeding tube into a longer tube whose tip sits in the small intestine, done through the skin with imaging guidance.

Hospitals typically charge $2,136 cash for this outpatient procedure — the median across 1,703 hospitals that filed a usable cash price; the average of the middle 60% is $2,201. Most fall between $1,100 and $3,992 (20th–80th percentile).

Hospitals
1,703
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 1,703 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
$687$1,252$2,136$3,370$5,953

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($687 vs $5,953).

How the prices are spread

$409 – $544: 48 hospitals$409$544 – $724: 61 hospitals$724 – $964: 99 hospitals$724$964 – $1,283: 169 hospitals$1,283 – $1,707: 162 hospitals$1,283$1,707 – $2,272: 341 hospitals$2,272 – $3,025: 260 hospitals$2,272$3,025 – $4,026: 143 hospitals$4,026 – $5,359: 121 hospitals$4,026$5,359 – $7,133: 132 hospitals$5,359median $2,136price bands are equal on a log scale
Hospitals per price band (1,536 of 1,703 — the bands cover the 5th to 95th percentile)
FromToHospitals
$409$54448
$544$72461
$724$96499
$964$1,283169
$1,283$1,707162
$1,707$2,272341
$2,272$3,025260
$3,025$4,026143
$4,026$5,359121
$5,359$7,133132

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,136
Cash as a multiple of Medicare1.09×

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 $2,136.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 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 $2,681 across 41 hospitalsWA$2,681Idaho: median $2,167 across 13 hospitalsID$2,167Montana: median $1,362 across 15 hospitalsMT$1,362North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,779 across 42 hospitalsMN$1,779Illinois: median $2,198 across 70 hospitalsIL$2,198Wisconsin: median $1,559 across 56 hospitalsWI$1,559Michigan: median $1,509 across 58 hospitalsMI$1,509New York: median $2,278 across 65 hospitalsNY$2,278Massachusetts: median $2,555 across 35 hospitalsMA$2,555Oregon: median $3,224 across 34 hospitalsOR$3,224Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,099 across 26 hospitalsIA$2,099Indiana: median $1,247 across 54 hospitalsIN$1,247Ohio: median $3,327 across 92 hospitalsOH$3,327Pennsylvania: median $2,283 across 86 hospitalsPA$2,283New Jersey: median $2,531 across 52 hospitalsNJ$2,531Connecticut: median $2,761 across 15 hospitalsCT$2,761Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,991 across 141 hospitalsCA$2,991Utah: median $2,137 across 26 hospitalsUT$2,137Colorado: median $1,144 across 37 hospitalsCO$1,144Nebraska: median $1,073 across 16 hospitalsNE$1,073Missouri: median $1,949 across 37 hospitalsMO$1,949Kentucky: median $7,617 across 20 hospitalsKY$7,617West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,916 across 44 hospitalsVA$1,916Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,011 across 30 hospitalsAZ$1,011New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,807 across 15 hospitalsKS$1,807Arkansas: median $1,256 across 15 hospitalsAR$1,256Tennessee: median $553 across 37 hospitalsTN$553North Carolina: median $1,908 across 41 hospitalsNC$1,908South Carolina: median $2,188 across 33 hospitalsSC$2,188Oklahoma: median $1,252 across 27 hospitalsOK$1,252Louisiana: median $1,190 across 21 hospitalsLA$1,190Mississippi: median $934 across 32 hospitalsMS$934Alabama: median $1,854 across 14 hospitalsAL$1,854Georgia: median $2,883 across 55 hospitalsGA$2,883Hawaii: median $1,186 across 10 hospitalsHI$1,186Texas: median $1,863 across 134 hospitalsTX$1,863Florida: median $2,900 across 86 hospitalsFL$2,900
Cash price by state, most expensive first. National median $2,136. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY20$7,617+257%$1,107 – $8,810
Ohio OH92$3,327+56%$1,530 – $5,672
Oregon OR34$3,224+51%$1,460 – $4,523
California CA141$2,991+40%$1,463 – $5,953
Florida FL86$2,900+36%$1,727 – $5,269
Georgia GA55$2,883+35%$2,223 – $8,158
Connecticut CT15$2,761+29%$2,162 – $4,233
Washington WA41$2,681+26%$1,333 – $4,058
Massachusetts MA35$2,555+20%$1,547 – $3,934
New Jersey NJ52$2,531+19%$2,102 – $5,181
Pennsylvania PA86$2,283+7%$1,369 – $4,414
New York NY65$2,278+7%$1,543 – $3,992
Illinois IL70$2,198+3%$922 – $3,248
South Carolina SC33$2,188+2%$1,842 – $2,188
Idaho ID13$2,167+1%$2,025 – $4,686
Utah UT26$2,1370%$2,137 – $2,514
Iowa IA26$2,099−2%$1,255 – $2,366
Missouri MO37$1,949−9%$1,515 – $2,125
Virginia VA44$1,916−10%$1,153 – $2,275
North Carolina NC41$1,908−11%$827 – $2,091
Texas TX134$1,863−13%$1,221 – $3,927
Alabama AL14$1,854−13%$1,415 – $2,167
Kansas KS15$1,807−15%$463 – $2,521
Minnesota MN42$1,779−17%$994 – $2,392
Wisconsin WI56$1,559−27%$1,108 – $2,601
Michigan MI58$1,509−29%$175 – $2,639
Montana MT15$1,362−36%$834 – $2,345
Arkansas AR15$1,256−41%$487 – $2,285
Oklahoma OK27$1,252−41%$1,104 – $2,333
Indiana IN54$1,247−42%$720 – $3,374
Louisiana LA21$1,190−44%$861 – $3,285
Hawaii HI10$1,186−44%$891 – $2,701
Colorado CO37$1,144−46%$888 – $2,466
Nebraska NE16$1,073−50%$953 – $1,481
Arizona AZ30$1,011−53%$654 – $10,933
Mississippi MS32$934−56%$604 – $1,480
Tennessee TN37$553−74%$409 – $1,338
Nevada NV9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not 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 $2,136.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,488$2,146$1,108 – $4,085
Children’s45$2,195$1,208 – $5,389
Critical access162$1,663$791 – $3,426
Ownership
For-profit171$2,283$1,153 – $5,269
Government204$1,904$891 – $3,322
Non-profit1,320$2,141$1,101 – $3,933
System affiliation
Part of a system1,501$2,137$1,104 – $4,104
Independent202$2,030$934 – $3,631

Cash price vs list price

Median list price (chargemaster)$3,497
Median cash price$2,136
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

1,323 hospitals filed a usable inpatient cash price for this code. The median is $2,140 and the average of the middle 60% is $2,221; most fall between $1,108 and $4,231.

Cash price percentiles, inpatient, across 1,323 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
$788$1,266$2,140$3,439$5,953

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($788 vs $5,953).

Of the 1,424 hospitals that filed this code inpatient, 1,323 gave a usable cash price; 42 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 59 a list price only.

How complete is this

1,703 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,831 hospitals that filed this code at all gave us
Usable cash price — counted1,703
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded63
Hospitals that filed this code1,831

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 Convert Gastrostomy-Gastro-Jejunostomy Tube Perq.

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, “Stomach tube changed to a stomach-to-intestine tube (CPT 49446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49446-stomach-tube-changed-to-a-stomach-to-intestine-tube