44160

Partial removal of small and large bowel with attachment of small and large bowel

Medicare pricing data for 6,950 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 and large bowel with attachment of small and large bowel (HCPCS code 44160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $971.36, but hospitals typically charge $4,016 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$194.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $971.36, your out-of-pocket cost would be approximately $194.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$971.36
Average Hospital Charge
$4,016
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,015.97
Medicare Allowed$971.36
Medicare Payment$773.96

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $773.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,134$10,5032544+16.7%
Illinois$1,091$4,971304557+12.3%
District of Columbia$1,079$3,4032647+11.1%
New York$1,066$5,660307457+9.8%
Michigan$1,057$3,005179284+8.8%
Massachusetts$1,056$4,410170294+8.8%
Virginia$1,056$3,152182297+8.7%
Delaware$1,051$2,7762548+8.2%
Florida$1,026$3,712489843+5.6%
Maryland$1,020$3,400143247+5.0%
Hawaii$1,015$3,9531517+4.5%
Louisiana$1,011$3,50692130+4.1%
Connecticut$1,011$4,388108164+4.1%
Ohio$1,000$3,739296488+2.9%
California$998$3,886538848+2.8%
Pennsylvania$995$3,640379612+2.5%
Texas$988$4,389409676+1.7%
Georgia$984$3,871194340+1.3%
Tennessee$974$3,350167272+0.3%
Mississippi$968$3,00570131-0.4%
New Jersey$959$9,275155277-1.3%
Missouri$954$3,446143223-1.8%
New Mexico$950$3,2985385-2.2%
Nevada$949$3,1655786-2.3%
West Virginia$947$3,0174887-2.5%
South Carolina$945$3,921142255-2.7%
Kentucky$943$2,981122220-3.0%
Rhode Island$936$3,4812440-3.6%
Colorado$925$3,580146212-4.8%
New Hampshire$919$7,2424473-5.4%
Oklahoma$913$2,83478169-6.1%
North Carolina$912$3,215255430-6.1%
North Dakota$911$3,7083271-6.2%
Kansas$906$2,43081144-6.7%
Washington$903$3,260162237-7.0%
Arizona$892$3,246140221-8.2%
Alabama$891$2,75794139-8.3%
Vermont$889$4,3532534-8.4%
Oregon$883$3,34886116-9.1%
Utah$881$2,7364760-9.3%
Arkansas$881$2,42486145-9.3%
Maine$871$2,6483953-10.3%
Indiana$861$3,043168291-11.4%
Wyoming$858$4,4221628-11.7%
Minnesota$853$4,638140204-12.2%
Montana$852$3,1804483-12.3%
Wisconsin$847$8,415183276-12.8%
Iowa$803$3,2716490-17.3%
South Dakota$793$3,3624072-18.4%
Nebraska$781$3,23567115-19.6%
Idaho$727$3,2424356-25.1%

⚠️ 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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