44205

Partial removal of small and large bowel with attachment of small and large bowel using an endoscope

Medicare pricing data for 5,153 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 using an endoscope (HCPCS code 44205) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,068, but hospitals typically charge $4,080 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$213.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,068, your out-of-pocket cost would be approximately $213.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,068
Average Hospital Charge
$4,080
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,080.09
Medicare Allowed$1,068.15
Medicare Payment$850.35

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $850.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,381$3,4611855+29.3%
New York$1,236$6,154275682+15.7%
Massachusetts$1,227$4,431105305+14.9%
Rhode Island$1,223$4,2771542+14.5%
Virginia$1,216$3,243131427+13.8%
Hawaii$1,200$3,9401120+12.4%
Maryland$1,182$3,551100223+10.7%
Michigan$1,181$3,267117262+10.6%
Ohio$1,179$4,209174407+10.4%
Illinois$1,152$4,743219562+7.9%
Vermont$1,151$5,7751122+7.8%
Connecticut$1,150$4,80771163+7.7%
New Jersey$1,138$7,717117319+6.5%
Texas$1,127$4,436349950+5.5%
Pennsylvania$1,121$3,492236596+5.0%
Georgia$1,115$3,990143393+4.4%
California$1,108$4,1633931,007+3.7%
Florida$1,105$3,538373936+3.5%
Alaska$1,079$11,2992874+1.0%
Montana$1,078$3,3003572+0.9%
Nevada$1,071$4,44632120+0.3%
Louisiana$1,067$3,23885229-0.1%
Missouri$1,052$3,728103350-1.5%
Tennessee$1,050$3,567118330-1.7%
Oklahoma$1,045$2,71264218-2.2%
Mississippi$1,022$3,66757166-4.3%
Arkansas$1,020$2,80257181-4.5%
Kentucky$1,014$2,83587187-5.1%
Alabama$1,011$2,84880210-5.4%
Indiana$1,002$3,184124286-6.2%
Delaware$994$2,5382267-7.0%
New Hampshire$987$7,5843480-7.6%
South Carolina$984$3,863101276-7.8%
Minnesota$979$5,123132288-8.3%
Wisconsin$969$9,398122239-9.3%
Colorado$968$3,19892185-9.4%
Washington$964$3,578136329-9.7%
Kansas$931$2,69075234-12.9%
Utah$929$2,7333464-13.0%
North Carolina$924$3,257186544-13.5%
Arizona$920$3,256123424-13.8%
North Dakota$919$3,7811945-13.9%
Maine$909$2,5412342-14.9%
New Mexico$894$3,2152959-16.3%
Oregon$886$3,42584139-17.1%
Iowa$860$2,99757171-19.5%
West Virginia$835$3,0063167-21.8%
Wyoming$817$2,265823-23.5%
South Dakota$803$3,22028109-24.8%
Nebraska$723$3,14256166-32.3%
Idaho$700$2,5583096-34.5%

⚠️ 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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