Partial removal of large bowel using an endoscope
Medicare pricing data for 5,136 providers across 51 states
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 using an endoscope (HCPCS code 44204) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,203, but hospitals typically charge $4,474 — a 3.7x 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 $1,203, your out-of-pocket cost would be approximately $240.59. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $958.15 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,463 | $11,186 | 30 | 58 | +21.6% |
| Virginia | $1,400 | $3,986 | 117 | 289 | +16.4% |
| Maryland | $1,397 | $4,722 | 86 | 242 | +16.1% |
| Illinois | $1,327 | $5,098 | 159 | 297 | +10.3% |
| Massachusetts | $1,317 | $4,368 | 121 | 271 | +9.5% |
| New York | $1,302 | $6,093 | 342 | 807 | +8.3% |
| Texas | $1,294 | $4,834 | 300 | 575 | +7.5% |
| Ohio | $1,288 | $4,091 | 180 | 327 | +7.0% |
| Kentucky | $1,285 | $3,354 | 90 | 191 | +6.8% |
| Oklahoma | $1,276 | $3,582 | 57 | 121 | +6.1% |
| New Mexico | $1,275 | $4,473 | 19 | 41 | +6.0% |
| Tennessee | $1,269 | $3,998 | 104 | 205 | +5.5% |
| Hawaii | $1,268 | $3,672 | 18 | 32 | +5.4% |
| New Jersey | $1,249 | $10,144 | 138 | 354 | +3.9% |
| Nevada | $1,248 | $4,200 | 39 | 70 | +3.7% |
| District of Columbia | $1,244 | $3,748 | 12 | 36 | +3.4% |
| Louisiana | $1,243 | $3,819 | 91 | 213 | +3.4% |
| California | $1,239 | $4,521 | 459 | 1,089 | +3.0% |
| Michigan | $1,234 | $3,641 | 160 | 324 | +2.6% |
| Arkansas | $1,229 | $3,192 | 47 | 98 | +2.2% |
| Pennsylvania | $1,226 | $3,733 | 196 | 401 | +1.9% |
| Georgia | $1,221 | $4,086 | 139 | 269 | +1.5% |
| Connecticut | $1,218 | $4,836 | 54 | 93 | +1.2% |
| Florida | $1,201 | $3,929 | 351 | 927 | -0.1% |
| Missouri | $1,196 | $4,013 | 114 | 246 | -0.6% |
| Mississippi | $1,172 | $3,316 | 54 | 126 | -2.6% |
| Montana | $1,150 | $3,811 | 38 | 77 | -4.4% |
| South Carolina | $1,125 | $4,726 | 97 | 195 | -6.5% |
| North Carolina | $1,120 | $3,641 | 154 | 279 | -6.9% |
| Arizona | $1,107 | $3,639 | 113 | 232 | -8.0% |
| Iowa | $1,095 | $3,735 | 61 | 137 | -9.0% |
| Indiana | $1,094 | $3,407 | 126 | 256 | -9.0% |
| Oregon | $1,089 | $3,768 | 101 | 202 | -9.5% |
| Kansas | $1,085 | $3,212 | 75 | 187 | -9.8% |
| Vermont | $1,084 | $5,433 | 14 | 17 | -9.9% |
| Alabama | $1,063 | $2,835 | 91 | 192 | -11.7% |
| Colorado | $1,060 | $3,509 | 92 | 164 | -11.9% |
| North Dakota | $1,059 | $4,042 | 20 | 36 | -12.0% |
| New Hampshire | $1,055 | $5,193 | 32 | 55 | -12.3% |
| Delaware | $1,053 | $3,302 | 16 | 60 | -12.4% |
| Wisconsin | $1,051 | $8,181 | 108 | 174 | -12.6% |
| Wyoming | $1,048 | $4,763 | 12 | 29 | -12.9% |
| Rhode Island | $1,046 | $3,714 | 13 | 16 | -13.1% |
| West Virginia | $1,029 | $3,501 | 47 | 85 | -14.4% |
| Washington | $1,028 | $4,028 | 106 | 229 | -14.5% |
| Utah | $1,001 | $2,908 | 55 | 120 | -16.8% |
| Nebraska | $1,001 | $3,807 | 52 | 156 | -16.8% |
| Minnesota | $998 | $4,836 | 102 | 173 | -17.0% |
| Idaho | $975 | $3,986 | 47 | 86 | -19.0% |
| Maine | $917 | $3,004 | 38 | 74 | -23.8% |
| South Dakota | $915 | $3,544 | 40 | 124 | -23.9% |
⚠️ 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