Release of intestinal scar tissue
Medicare pricing data for 5,550 providers across 51 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Release of intestinal scar tissue (HCPCS code 44005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $930.19, but hospitals typically charge $3,281 — a 3.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $930.19, your out-of-pocket cost would be approximately $186.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $740.29 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,287 | $9,113 | 18 | 21 | +38.4% |
| District of Columbia | $1,165 | $3,169 | 21 | 31 | +25.2% |
| Maryland | $1,041 | $2,753 | 117 | 181 | +11.9% |
| Virginia | $1,034 | $2,765 | 147 | 221 | +11.2% |
| Michigan | $1,025 | $2,707 | 188 | 245 | +10.2% |
| New York | $1,010 | $4,760 | 297 | 391 | +8.6% |
| Illinois | $1,003 | $3,779 | 233 | 336 | +7.8% |
| Louisiana | $986 | $2,835 | 78 | 122 | +6.0% |
| Georgia | $982 | $3,233 | 152 | 216 | +5.5% |
| Massachusetts | $978 | $3,524 | 150 | 217 | +5.1% |
| North Dakota | $974 | $3,564 | 15 | 23 | +4.7% |
| Florida | $965 | $3,165 | 353 | 510 | +3.7% |
| Nevada | $957 | $3,024 | 47 | 75 | +2.9% |
| Texas | $955 | $3,340 | 329 | 457 | +2.6% |
| California | $955 | $3,376 | 398 | 549 | +2.6% |
| Pennsylvania | $953 | $3,054 | 280 | 377 | +2.4% |
| Ohio | $942 | $3,037 | 225 | 305 | +1.3% |
| Hawaii | $937 | $1,991 | 14 | 17 | +0.7% |
| New Jersey | $925 | $5,897 | 139 | 195 | -0.5% |
| West Virginia | $924 | $3,115 | 31 | 44 | -0.7% |
| Oklahoma | $920 | $2,620 | 71 | 101 | -1.1% |
| Rhode Island | $919 | $3,040 | 19 | 20 | -1.2% |
| Tennessee | $918 | $2,666 | 127 | 182 | -1.3% |
| Mississippi | $913 | $2,417 | 72 | 124 | -1.8% |
| Kansas | $912 | $2,532 | 39 | 52 | -2.0% |
| Connecticut | $906 | $3,761 | 69 | 83 | -2.6% |
| Montana | $901 | $2,590 | 33 | 50 | -3.1% |
| North Carolina | $892 | $2,912 | 179 | 239 | -4.1% |
| Washington | $891 | $2,816 | 133 | 173 | -4.2% |
| Utah | $888 | $2,595 | 42 | 73 | -4.5% |
| Kentucky | $879 | $2,423 | 92 | 115 | -5.5% |
| Oregon | $876 | $3,059 | 88 | 111 | -5.9% |
| Alabama | $875 | $2,195 | 80 | 103 | -5.9% |
| Colorado | $871 | $2,741 | 123 | 162 | -6.3% |
| Delaware | $871 | $2,313 | 27 | 45 | -6.4% |
| New Hampshire | $871 | $4,755 | 43 | 59 | -6.4% |
| Arizona | $863 | $2,975 | 114 | 159 | -7.2% |
| South Carolina | $856 | $2,790 | 105 | 156 | -8.0% |
| Missouri | $853 | $2,849 | 126 | 164 | -8.3% |
| Arkansas | $850 | $2,122 | 53 | 67 | -8.6% |
| New Mexico | $825 | $2,644 | 33 | 47 | -11.3% |
| Minnesota | $818 | $4,075 | 124 | 151 | -12.1% |
| Iowa | $813 | $2,988 | 70 | 84 | -12.6% |
| Maine | $809 | $2,334 | 32 | 36 | -13.1% |
| Indiana | $806 | $2,160 | 122 | 172 | -13.3% |
| Wisconsin | $799 | $6,314 | 151 | 189 | -14.1% |
| Vermont | $771 | $3,163 | 14 | 18 | -17.1% |
| South Dakota | $763 | $2,452 | 31 | 38 | -18.0% |
| Wyoming | $734 | $2,922 | 21 | 30 | -21.1% |
| Idaho | $722 | $2,260 | 35 | 51 | -22.3% |
| Nebraska | $720 | $2,491 | 42 | 55 | -22.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber