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Procedure price report · Gastrostomy, temporary and permanent

Replacement of a stomach-to-intestine feeding tube

CPT 49452the billing code this page is about

Exchange of an existing tube that passes through the stomach with its tip in the small intestine for a new one, done through the skin with imaging guidance.

Hospitals typically charge $1,316 cash for this outpatient procedure — the median across 1,865 hospitals that filed a usable cash price; the average of the middle 60% is $1,390. Most fall between $680 and $2,407 (20th–80th percentile).

Hospitals
1,865
States
50
Filings dated
Mar 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 1,865 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
$444$794$1,316$2,187$3,387

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($444 vs $3,387).

How the prices are spread

$324 – $427: 78 hospitals$324$427 – $563: 112 hospitals$563 – $742: 137 hospitals$563$742 – $977: 220 hospitals$977 – $1,287: 265 hospitals$977$1,287 – $1,696: 291 hospitals$1,696 – $2,234: 222 hospitals$1,696$2,234 – $2,944: 206 hospitals$2,944 – $3,879: 103 hospitals$2,944$3,879 – $5,110: 48 hospitals$3,879median $1,316price bands are equal on a log scale
Hospitals per price band (1,682 of 1,865 — the bands cover the 5th to 95th percentile)
FromToHospitals
$324$42778
$427$563112
$563$742137
$742$977220
$977$1,287265
$1,287$1,696291
$1,696$2,234222
$2,234$2,944206
$2,944$3,879103
$3,879$5,11048

Against Medicare

Medicare pays (OPPS 2026, national rate)$927
Median cash price$1,316
Cash as a multiple of Medicare1.42×

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 $1,316.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,446 across 49 hospitalsWA$1,446Idaho: median $1,724 across 13 hospitalsID$1,724Montana: median $1,105 across 16 hospitalsMT$1,105North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,290 across 51 hospitalsMN$1,290Illinois: median $1,311 across 81 hospitalsIL$1,311Wisconsin: median $1,072 across 64 hospitalsWI$1,072Michigan: median $794 across 61 hospitalsMI$794New York: median $1,109 across 69 hospitalsNY$1,109Massachusetts: median $1,275 across 40 hospitalsMA$1,275Oregon: median $1,680 across 37 hospitalsOR$1,680Nevada: median $1,545 across 10 hospitalsNV$1,545Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,946 across 11 hospitalsSD$1,946Iowa: median $1,488 across 31 hospitalsIA$1,488Indiana: median $963 across 56 hospitalsIN$963Ohio: median $2,071 across 95 hospitalsOH$2,071Pennsylvania: median $1,585 across 92 hospitalsPA$1,585New Jersey: median $1,251 across 52 hospitalsNJ$1,251Connecticut: median $1,488 across 16 hospitalsCT$1,488Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,895 across 151 hospitalsCA$1,895Utah: median $2,354 across 26 hospitalsUT$2,354Colorado: median $978 across 42 hospitalsCO$978Nebraska: median $730 across 18 hospitalsNE$730Missouri: median $1,342 across 43 hospitalsMO$1,342Kentucky: median $1,514 across 22 hospitalsKY$1,514West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $778 across 44 hospitalsVA$778Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $896 across 37 hospitalsAZ$896New Mexico: median $954 across 10 hospitalsNM$954Kansas: median $854 across 14 hospitalsKS$854Arkansas: median $550 across 16 hospitalsAR$550Tennessee: median $422 across 40 hospitalsTN$422North Carolina: median $703 across 40 hospitalsNC$703South Carolina: median $1,701 across 33 hospitalsSC$1,701Oklahoma: median $800 across 30 hospitalsOK$800Louisiana: median $767 across 27 hospitalsLA$767Mississippi: median $433 across 32 hospitalsMS$433Alabama: median $809 across 19 hospitalsAL$809Georgia: median $2,635 across 62 hospitalsGA$2,635Hawaii: median $992 across 11 hospitalsHI$992Texas: median $1,383 across 145 hospitalsTX$1,383Florida: median $1,958 across 94 hospitalsFL$1,958
Cash price by state, most expensive first. National median $1,316. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA62$2,635+100%$1,351 – $4,203
Utah UT26$2,354+79%$2,354 – $2,769
Ohio OH95$2,071+57%$1,362 – $4,068
Florida FL94$1,958+49%$1,008 – $2,468
South Dakota SD11$1,946+48%$1,882 – $2,049
California CA151$1,895+44%$957 – $2,995
Idaho ID13$1,724+31%$660 – $2,526
South Carolina SC33$1,701+29%$1,037 – $2,927
Oregon OR37$1,680+28%$424 – $2,383
Pennsylvania PA92$1,585+20%$1,046 – $3,918
Nevada NV10$1,545+17%$986 – $3,040
Kentucky KY22$1,514+15%$880 – $3,251
Connecticut CT16$1,488+13%$1,312 – $2,685
Iowa IA31$1,488+13%$497 – $2,135
Washington WA49$1,446+10%$745 – $1,757
Texas TX145$1,383+5%$761 – $2,213
Missouri MO43$1,342+2%$903 – $2,357
Illinois IL81$1,3110%$608 – $2,016
Minnesota MN51$1,290−2%$824 – $2,123
Massachusetts MA40$1,275−3%$680 – $2,911
New Jersey NJ52$1,251−5%$1,039 – $4,674
New York NY69$1,109−16%$405 – $2,196
Montana MT16$1,105−16%$594 – $1,329
Wisconsin WI64$1,072−19%$560 – $1,508
Hawaii HI11$992−25%$877 – $1,804
Colorado CO42$978−26%$695 – $2,190
Indiana IN56$963−27%$528 – $2,315
New Mexico NM10$954−28%$579 – $2,136
Arizona AZ37$896−32%$542 – $7,652
Kansas KS14$854−35%$394 – $4,012
Alabama AL19$809−39%$539 – $1,415
Oklahoma OK30$800−39%$640 – $1,217
Michigan MI61$794−40%$273 – $1,333
Virginia VA44$778−41%$587 – $1,217
Louisiana LA27$767−42%$348 – $1,376
Nebraska NE18$730−45%$373 – $1,057
North Carolina NC40$703−47%$518 – $1,500
Arkansas AR16$550−58%$283 – $1,048
Mississippi MS32$433−67%$353 – $945
Tennessee TN40$422−68%$353 – $832
Alaska AK9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Vermont VT3not 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 $1,316.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,612$1,312$682 – $2,449
Children’s50$1,818$744 – $3,724
Critical access195$1,329$617 – $2,123
Ownership
For-profit203$1,376$701 – $2,995
Government227$1,065$518 – $2,032
Non-profit1,427$1,366$700 – $2,391
System affiliation
Part of a system1,623$1,351$701 – $2,465
Independent242$1,094$548 – $2,080

Cash price vs list price

Median list price (chargemaster)$2,304
Median cash price$1,316
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

1,461 hospitals filed a usable inpatient cash price for this code. The median is $1,390 and the average of the middle 60% is $1,485; most fall between $696 and $2,487.

Cash price percentiles, inpatient, across 1,461 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
$485$826$1,390$2,313$3,400

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($485 vs $3,400).

Of the 1,574 hospitals that filed this code inpatient, 1,461 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 63 a list price only.

How complete is this

1,865 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,009 hospitals that filed this code at all gave us
Usable cash price — counted1,865
Cash price carrying a plausibility flag — shown on the compare tool, excluded here70
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded69
Hospitals that filed this code2,009

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 Replacement Gastro-Jejunostomy 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-to-intestine feeding tube (CPT 49452) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49452-replacement-of-a-stomach-to-intestine-feeding-tube