44140

Partial removal of large bowel with connection

Medicare pricing data for 6,340 providers across 50 states

🤖AI Overview

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

Partial removal of large bowel with connection (HCPCS code 44140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,033, but hospitals typically charge $3,996 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$206.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,033, your out-of-pocket cost would be approximately $206.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,033
Average Hospital Charge
$3,996
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,995.96
Medicare Allowed$1,033.19
Medicare Payment$823.56

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $823.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,162$3,6092241+12.5%
Connecticut$1,134$4,9105676+9.8%
Michigan$1,132$3,113203315+9.5%
Alaska$1,128$11,0901828+9.1%
West Virginia$1,104$3,6605882+6.8%
New York$1,102$5,584383568+6.7%
Massachusetts$1,097$4,295125218+6.2%
Illinois$1,097$4,663209336+6.1%
Florida$1,091$3,919431652+5.6%
Hawaii$1,090$3,5261519+5.5%
Virginia$1,089$3,411154230+5.4%
Texas$1,087$4,032355537+5.2%
Ohio$1,086$3,394246377+5.1%
Maryland$1,085$3,542134220+5.0%
Louisiana$1,077$3,70889143+4.3%
California$1,051$4,433585932+1.7%
Nevada$1,047$3,3735591+1.4%
Georgia$1,041$3,826168274+0.8%
Delaware$1,038$3,0322536+0.5%
South Carolina$1,036$3,787123218+0.3%
North Dakota$1,036$3,9542439+0.2%
Pennsylvania$1,032$3,663281410-0.1%
Tennessee$1,030$3,524148225-0.3%
Iowa$1,026$3,84786133-0.7%
Oklahoma$1,016$3,14973127-1.6%
Missouri$1,015$3,407124210-1.8%
Kentucky$1,014$3,076132215-1.8%
New Jersey$1,013$7,573166299-2.0%
Arkansas$1,010$2,8536498-2.2%
North Carolina$1,007$3,491168237-2.5%
Mississippi$998$3,00174138-3.4%
Arizona$988$3,478144237-4.3%
Rhode Island$980$3,1961617-5.1%
Oregon$976$3,410101146-5.5%
Idaho$959$3,0963850-7.2%
New Hampshire$950$5,0105584-8.1%
Wisconsin$949$7,208136181-8.2%
Alabama$931$2,81594141-9.9%
Washington$927$3,580160239-10.2%
Utah$925$2,82359101-10.5%
Montana$922$3,5243656-10.7%
Kansas$920$2,83987143-11.0%
Minnesota$914$4,40998132-11.5%
South Dakota$913$3,0034887-11.6%
Colorado$912$3,160119154-11.7%
Indiana$911$2,943175276-11.8%
New Mexico$895$3,5873346-13.4%
Maine$867$2,4945273-16.1%
Vermont$825$4,4521730-20.2%
Nebraska$805$3,0815467-22.1%

⚠️ 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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