44120

Partial removal of small bowel with reconnection

Medicare pricing data for 11,591 providers across 51 states

🤖AI Overview

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

Partial removal of small bowel with reconnection (HCPCS code 44120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $917.45, but hospitals typically charge $3,818 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$183.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $917.45, your out-of-pocket cost would be approximately $183.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$917.45
Average Hospital Charge
$3,818
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,818.25
Medicare Allowed$917.45
Medicare Payment$731.13

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $731.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,111$3,48654114+21.1%
Alaska$1,089$8,2182837+18.7%
Rhode Island$1,064$3,7273658+16.0%
Michigan$1,039$3,091343614+13.3%
Illinois$1,017$4,307451913+10.9%
Massachusetts$1,017$4,193287548+10.9%
Virginia$1,014$3,114284582+10.5%
New York$975$5,7497121,207+6.2%
Hawaii$972$2,8592638+6.0%
Wyoming$970$3,6522552+5.7%
Vermont$959$5,0413160+4.6%
Maryland$958$3,237243553+4.4%
Pennsylvania$950$3,4945741,057+3.5%
Florida$949$3,6267601,581+3.4%
Connecticut$949$4,553155289+3.4%
West Virginia$946$3,25670128+3.2%
Georgia$942$3,648317604+2.7%
Texas$942$3,9167011,350+2.6%
Louisiana$933$3,339175332+1.7%
California$928$3,8729701,919+1.2%
Ohio$921$3,581463837+0.4%
Delaware$915$2,48856123-0.3%
Tennessee$909$3,194249490-0.9%
New Jersey$906$7,335293678-1.3%
Iowa$905$3,617130240-1.3%
Oklahoma$904$2,758132304-1.5%
Missouri$887$3,196254484-3.3%
North Dakota$886$3,3654175-3.4%
Mississippi$884$2,893105237-3.7%
Montana$881$3,14259135-3.9%
Arkansas$881$2,635116292-4.0%
Kentucky$876$2,848190374-4.5%
South Carolina$875$3,634221471-4.6%
Colorado$874$3,484232408-4.7%
Utah$871$3,04397185-5.1%
Kansas$867$2,596106255-5.5%
Maine$865$3,0376998-5.7%
New Mexico$860$3,37966118-6.3%
Washington$858$3,290283528-6.5%
Alabama$852$2,973156308-7.2%
Arizona$849$3,118235510-7.5%
North Carolina$844$3,150390679-8.0%
Nevada$842$3,554109230-8.2%
Oregon$835$3,268171287-9.0%
Minnesota$822$4,325246461-10.4%
New Hampshire$821$5,14470141-10.5%
Wisconsin$811$7,543274467-11.6%
Indiana$808$2,610283580-11.9%
South Dakota$783$2,95055113-14.7%
Nebraska$707$2,993101222-22.9%
Idaho$683$2,60081145-25.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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