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Procedure price report · Ileostomy and other enterostomy

Replacement of small intestine feeding tube through skin

CPT 49451the billing code this page is about

Exchange of an existing duodenostomy or jejunostomy feeding tube for a new one through the existing skin opening, using imaging guidance.

Hospitals typically charge $1,175 cash for this outpatient procedure — the median across 1,948 hospitals that filed a usable cash price; the average of the middle 60% is $1,234. Most fall between $617 and $2,220 (20th–80th percentile).

Hospitals
1,948
States
50
Filings dated
Aug 2022 – 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 1,948 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
$385$706$1,175$1,878$3,179

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($385 vs $3,179).

How the prices are spread

$245 – $327: 41 hospitals$245$327 – $436: 86 hospitals$436 – $581: 128 hospitals$436$581 – $774: 221 hospitals$774 – $1,032: 251 hospitals$774$1,032 – $1,376: 334 hospitals$1,376 – $1,835: 278 hospitals$1,376$1,835 – $2,447: 165 hospitals$2,447 – $3,263: 164 hospitals$2,447$3,263 – $4,350: 86 hospitals$3,263median $1,175price bands are equal on a log scale
Hospitals per price band (1,754 of 1,948 — the bands cover the 5th to 95th percentile)
FromToHospitals
$245$32741
$327$43686
$436$581128
$581$774221
$774$1,032251
$1,032$1,376334
$1,376$1,835278
$1,835$2,447165
$2,447$3,263164
$3,263$4,35086

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,175
Cash as a multiple of Medicare1.27×

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 $1,175.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $894 across 10 hospitalsME$894Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,358 across 53 hospitalsWA$1,358Idaho: median $1,346 across 14 hospitalsID$1,346Montana: median $951 across 16 hospitalsMT$951North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $828 across 51 hospitalsMN$828Illinois: median $1,175 across 84 hospitalsIL$1,175Wisconsin: median $714 across 61 hospitalsWI$714Michigan: median $794 across 64 hospitalsMI$794New York: median $1,341 across 78 hospitalsNY$1,341Massachusetts: median $1,233 across 39 hospitalsMA$1,233Oregon: median $1,214 across 38 hospitalsOR$1,214Nevada: median $986 across 11 hospitalsNV$986Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,062 across 11 hospitalsSD$2,062Iowa: median $1,492 across 27 hospitalsIA$1,492Indiana: median $926 across 55 hospitalsIN$926Ohio: median $1,554 across 97 hospitalsOH$1,554Pennsylvania: median $1,540 across 92 hospitalsPA$1,540New Jersey: median $1,251 across 55 hospitalsNJ$1,251Connecticut: median $1,312 across 17 hospitalsCT$1,312Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,783 across 153 hospitalsCA$1,783Utah: median $1,565 across 26 hospitalsUT$1,565Colorado: median $914 across 39 hospitalsCO$914Nebraska: median $617 across 20 hospitalsNE$617Missouri: median $1,047 across 51 hospitalsMO$1,047Kentucky: median $1,514 across 27 hospitalsKY$1,514West Virginia: median $1,155 across 14 hospitalsWV$1,155Virginia: median $689 across 52 hospitalsVA$689Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $896 across 35 hospitalsAZ$896New Mexico: median $568 across 10 hospitalsNM$568Kansas: median $854 across 21 hospitalsKS$854Arkansas: median $671 across 15 hospitalsAR$671Tennessee: median $347 across 46 hospitalsTN$347North Carolina: median $706 across 46 hospitalsNC$706South Carolina: median $1,701 across 36 hospitalsSC$1,701Oklahoma: median $803 across 34 hospitalsOK$803Louisiana: median $851 across 29 hospitalsLA$851Mississippi: median $556 across 38 hospitalsMS$556Alabama: median $890 across 22 hospitalsAL$890Georgia: median $2,738 across 66 hospitalsGA$2,738Hawaii: median $1,230 across 13 hospitalsHI$1,230Texas: median $1,197 across 145 hospitalsTX$1,197Florida: median $1,580 across 88 hospitalsFL$1,580
Cash price by state, most expensive first. National median $1,175. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA66$2,738+133%$966 – $2,862
South Dakota SD11$2,062+75%$1,802 – $2,062
California CA153$1,783+52%$786 – $3,205
South Carolina SC36$1,701+45%$686 – $1,731
Florida FL88$1,580+34%$835 – $2,391
Utah UT26$1,565+33%$1,565 – $1,841
Ohio OH97$1,554+32%$958 – $3,400
Pennsylvania PA92$1,540+31%$927 – $2,995
Kentucky KY27$1,514+29%$687 – $3,251
Iowa IA27$1,492+27%$767 – $1,742
Washington WA53$1,358+16%$722 – $2,090
Idaho ID14$1,346+14%$1,250 – $2,526
New York NY78$1,341+14%$917 – $2,347
Connecticut CT17$1,312+12%$908 – $2,895
New Jersey NJ55$1,251+6%$1,038 – $4,881
Massachusetts MA39$1,233+5%$826 – $2,104
Hawaii HI13$1,230+5%$706 – $2,258
Oregon OR38$1,214+3%$158 – $2,180
Texas TX145$1,197+2%$723 – $1,583
Illinois IL84$1,1750%$584 – $2,170
West Virginia WV14$1,155−2%$284 – $1,701
Missouri MO51$1,047−11%$666 – $1,964
Nevada NV11$986−16%$374 – $2,523
Montana MT16$951−19%$207 – $1,105
Indiana IN55$926−21%$559 – $1,750
Colorado CO39$914−22%$615 – $1,849
Arizona AZ35$896−24%$397 – $6,577
Maine ME10$894−24%$660 – $991
Alabama AL22$890−24%$620 – $1,444
Kansas KS21$854−27%$451 – $1,235
Louisiana LA29$851−28%$432 – $1,445
Minnesota MN51$828−30%$665 – $1,221
Oklahoma OK34$803−32%$571 – $1,276
Michigan MI64$794−32%$131 – $1,484
Wisconsin WI61$714−39%$665 – $1,365
North Carolina NC46$706−40%$450 – $1,249
Virginia VA52$689−41%$574 – $1,163
Arkansas AR15$671−43%$280 – $1,462
Nebraska NE20$617−48%$335 – $1,363
New Mexico NM10$568−52%$459 – $1,066
Mississippi MS38$556−53%$288 – $917
Tennessee TN46$347−70%$298 – $811
Alaska AK8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not 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 $1,175.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,661$1,204$647 – $2,330
Children’s44$1,264$848 – $3,447
Critical access235$971$393 – $1,610
Ownership
For-profit207$1,326$617 – $2,854
Government263$917$518 – $1,910
Non-profit1,470$1,207$633 – $2,189
System affiliation
Part of a system1,671$1,204$633 – $2,330
Independent277$975$467 – $1,820

Cash price vs list price

Median list price (chargemaster)$2,100
Median cash price$1,175
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

1,527 hospitals filed a usable inpatient cash price for this code. The median is $1,251 and the average of the middle 60% is $1,288; most fall between $633 and $2,315.

Cash price percentiles, inpatient, across 1,527 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
$425$714$1,251$2,019$3,054

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($425 vs $3,054).

Of the 1,644 hospitals that filed this code inpatient, 1,527 gave a usable cash price; 51 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 65 a list price only.

How complete is this

1,948 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,100 hospitals that filed this code at all gave us
Usable cash price — counted1,948
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded69
Hospitals that filed this code2,100

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 Replace Duodenostomy/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, “Replacement of small intestine feeding tube through skin (CPT 49451) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49451-replacement-of-small-intestine-feeding-tube-through-skin