HRHospitalRates.comCompare prices

Procedure price report · Gastrostomy, temporary and permanent

Replacement of a stomach or colon tube through the skin

CPT 49450the billing code this page is about

Exchange of an existing gastrostomy or cecostomy (colon) tube for a new one through the existing skin opening, using imaging guidance.

Hospitals typically charge $1,121 cash for this outpatient procedure — the median across 2,147 hospitals that filed a usable cash price; the average of the middle 60% is $1,202. Most fall between $553 and $2,229 (20th–80th percentile).

Hospitals
2,147
States
50
Filings dated
Dec 2023 – 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 2,147 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
$333$658$1,121$1,900$3,062

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($333 vs $3,062).

How the prices are spread

$178 – $245: 38 hospitals$178$245 – $338: 76 hospitals$338 – $465: 107 hospitals$338$465 – $641: 190 hospitals$641 – $883: 257 hospitals$641$883 – $1,216: 394 hospitals$1,216 – $1,675: 337 hospitals$1,216$1,675 – $2,307: 246 hospitals$2,307 – $3,177: 185 hospitals$2,307$3,177 – $4,376: 103 hospitals$3,177median $1,121price bands are equal on a log scale
Hospitals per price band (1,933 of 2,147 — the bands cover the 5th to 95th percentile)
FromToHospitals
$178$24538
$245$33876
$338$465107
$465$641190
$641$883257
$883$1,216394
$1,216$1,675337
$1,675$2,307246
$2,307$3,177185
$3,177$4,376103

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,121
Cash as a multiple of Medicare1.21×

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 $1,121.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $698 across 10 hospitalsME$698Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,327 across 54 hospitalsWA$1,327Idaho: median $1,318 across 15 hospitalsID$1,318Montana: median $846 across 15 hospitalsMT$846North Dakota: median $1,203 across 12 hospitalsND$1,203Minnesota: median $1,008 across 58 hospitalsMN$1,008Illinois: median $1,271 across 88 hospitalsIL$1,271Wisconsin: median $799 across 77 hospitalsWI$799Michigan: median $767 across 63 hospitalsMI$767New York: median $1,109 across 86 hospitalsNY$1,109Massachusetts: median $1,245 across 43 hospitalsMA$1,245Oregon: median $1,496 across 39 hospitalsOR$1,496Nevada: median $986 across 11 hospitalsNV$986Wyoming: 7 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 $1,252 across 33 hospitalsIA$1,252Indiana: median $954 across 59 hospitalsIN$954Ohio: median $1,410 across 110 hospitalsOH$1,410Pennsylvania: median $1,767 across 102 hospitalsPA$1,767New Jersey: median $1,251 across 54 hospitalsNJ$1,251Connecticut: median $1,501 across 19 hospitalsCT$1,501Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,768 across 165 hospitalsCA$1,768Utah: median $1,759 across 27 hospitalsUT$1,759Colorado: median $869 across 41 hospitalsCO$869Nebraska: median $664 across 23 hospitalsNE$664Missouri: median $1,047 across 51 hospitalsMO$1,047Kentucky: median $1,271 across 28 hospitalsKY$1,271West Virginia: median $1,043 across 25 hospitalsWV$1,043Virginia: median $720 across 47 hospitalsVA$720Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $814 across 41 hospitalsAZ$814New Mexico: median $1,156 across 17 hospitalsNM$1,156Kansas: median $824 across 21 hospitalsKS$824Arkansas: median $501 across 23 hospitalsAR$501Tennessee: median $450 across 46 hospitalsTN$450North Carolina: median $591 across 52 hospitalsNC$591South Carolina: median $1,052 across 40 hospitalsSC$1,052Oklahoma: median $649 across 37 hospitalsOK$649Louisiana: median $610 across 39 hospitalsLA$610Mississippi: median $644 across 41 hospitalsMS$644Alabama: median $890 across 25 hospitalsAL$890Georgia: median $2,071 across 74 hospitalsGA$2,071Hawaii: median $1,311 across 14 hospitalsHI$1,311Texas: median $1,121 across 164 hospitalsTX$1,121Florida: median $1,534 across 100 hospitalsFL$1,534
Cash price by state, most expensive first. National median $1,121. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA74$2,071+85%$905 – $2,769
California CA165$1,768+58%$637 – $2,995
Pennsylvania PA102$1,767+58%$944 – $3,972
Utah UT27$1,759+57%$1,476 – $2,069
Florida FL100$1,534+37%$845 – $2,468
Connecticut CT19$1,501+34%$908 – $2,895
Oregon OR39$1,496+33%$247 – $2,085
Ohio OH110$1,410+26%$853 – $2,803
Washington WA54$1,327+18%$786 – $1,779
Idaho ID15$1,318+18%$1,098 – $2,526
Hawaii HI14$1,311+17%$925 – $1,714
Kentucky KY28$1,271+13%$567 – $3,251
Illinois IL88$1,271+13%$575 – $2,149
Iowa IA33$1,252+12%$329 – $1,623
New Jersey NJ54$1,251+12%$1,039 – $4,418
Massachusetts MA43$1,245+11%$692 – $2,104
North Dakota ND12$1,203+7%$797 – $1,479
New Mexico NM17$1,156+3%$1,066 – $1,586
Texas TX164$1,1210%$675 – $2,042
New York NY86$1,109−1%$430 – $2,267
South Carolina SC40$1,052−6%$745 – $1,691
Missouri MO51$1,047−7%$648 – $2,228
West Virginia WV25$1,043−7%$69 – $1,342
Minnesota MN58$1,008−10%$712 – $1,518
Nevada NV11$986−12%$602 – $2,355
Indiana IN59$954−15%$225 – $2,242
Alabama AL25$890−21%$434 – $1,112
Colorado CO41$869−22%$549 – $1,609
Montana MT15$846−24%$164 – $1,015
Kansas KS21$824−26%$350 – $1,815
Arizona AZ41$814−27%$326 – $4,253
Wisconsin WI77$799−29%$512 – $1,636
Michigan MI63$767−32%$102 – $1,298
Virginia VA47$720−36%$452 – $1,265
Maine ME10$698−38%$421 – $777
Nebraska NE23$664−41%$386 – $1,434
Oklahoma OK37$649−42%$537 – $1,134
Mississippi MS41$644−43%$287 – $1,027
Louisiana LA39$610−46%$383 – $1,429
North Carolina NC52$591−47%$491 – $1,249
Arkansas AR23$501−55%$280 – $1,048
Tennessee TN46$450−60%$297 – $845
Alaska AK9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Vermont VT5not 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 $1,121.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,781$1,134$586 – $2,274
Children’s60$1,535$887 – $4,012
Critical access297$998$349 – $1,700
Ownership
For-profit243$1,220$640 – $2,836
Government297$917$414 – $1,610
Non-profit1,598$1,172$583 – $2,229
System affiliation
Part of a system1,824$1,159$575 – $2,289
Independent323$968$423 – $1,779

Cash price vs list price

Median list price (chargemaster)$2,070
Median cash price$1,121
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

1,656 hospitals filed a usable inpatient cash price for this code. The median is $1,173 and the average of the middle 60% is $1,255; most fall between $586 and $2,271.

Cash price percentiles, inpatient, across 1,656 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
$390$684$1,173$2,019$2,905

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($390 vs $2,905).

Of the 1,779 hospitals that filed this code inpatient, 1,656 gave a usable cash price; 49 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

2,147 of the 3,956 hospitals with a price file in our corpus (54%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,321 hospitals that filed this code at all gave us
Usable cash price — counted2,147
Cash price carrying a plausibility flag — shown on the compare tool, excluded here88
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded80
Hospitals that filed this code2,321

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 Gastrostomy, temporary and permanent family.

Hospitals file this code under descriptions such as Replace Gastrostomy/Cecostomy 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, “Replacement of a stomach or colon tube through the skin (CPT 49450) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49450-replacement-of-a-stomach-or-colon-tube-through-the-skin