Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast
Medicare pricing data for 4,828 providers across 50 states
This procedure has a 6.9x markup — hospitals charge $948.86 but Medicare allows only $138.15. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $53 in Idaho to $316 in California. Where you get this procedure matters more than almost any other factor. 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
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast (HCPCS code 49450) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $138.15, but hospitals typically charge $948.86 — a 6.9x 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 $138.15, your out-of-pocket cost would be approximately $27.63. 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 6.9x more than what Medicare allows for this procedure. Medicare actually pays $107.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $316 | $1,089 | 567 | 4,414 | +128.6% |
| Oregon | $160 | $861 | 74 | 161 | +15.8% |
| New York | $130 | $1,148 | 279 | 986 | -5.8% |
| Arkansas | $127 | $1,079 | 51 | 258 | -8.2% |
| Louisiana | $119 | $974 | 47 | 108 | -13.6% |
| Washington | $109 | $635 | 140 | 506 | -20.8% |
| Maryland | $107 | $1,005 | 86 | 328 | -22.8% |
| Texas | $106 | $1,319 | 336 | 1,153 | -23.4% |
| Georgia | $102 | $1,196 | 136 | 467 | -26.1% |
| Virginia | $99 | $948 | 137 | 624 | -28.5% |
| Alaska | $97 | $1,794 | 12 | 26 | -29.7% |
| New Jersey | $97 | $1,139 | 119 | 376 | -30.1% |
| Florida | $93 | $962 | 375 | 1,463 | -32.9% |
| Massachusetts | $75 | $647 | 159 | 684 | -45.4% |
| Minnesota | $75 | $958 | 137 | 535 | -45.6% |
| Pennsylvania | $75 | $605 | 262 | 1,024 | -46.0% |
| District of Columbia | $68 | $836 | 19 | 125 | -50.5% |
| Illinois | $67 | $681 | 174 | 577 | -51.3% |
| Connecticut | $66 | $1,285 | 83 | 288 | -52.0% |
| Michigan | $65 | $315 | 137 | 435 | -52.8% |
| Rhode Island | $65 | $675 | 22 | 39 | -52.9% |
| Montana | $65 | $439 | 20 | 49 | -53.1% |
| Nevada | $65 | $412 | 25 | 80 | -53.1% |
| Vermont | $64 | $2,094 | 7 | 27 | -53.7% |
| New Hampshire | $63 | $726 | 28 | 92 | -54.1% |
| Delaware | $63 | $191 | 24 | 142 | -54.3% |
| Colorado | $63 | $480 | 89 | 312 | -54.3% |
| Ohio | $63 | $829 | 120 | 268 | -54.5% |
| North Dakota | $63 | $1,906 | 14 | 83 | -54.6% |
| Missouri | $62 | $1,268 | 91 | 319 | -55.1% |
| Hawaii | $61 | $506 | 18 | 119 | -55.5% |
| Nebraska | $61 | $963 | 24 | 134 | -55.7% |
| North Carolina | $61 | $980 | 148 | 482 | -55.8% |
| Arizona | $61 | $1,398 | 82 | 300 | -56.1% |
| New Mexico | $61 | $904 | 30 | 90 | -56.1% |
| Alabama | $60 | $565 | 38 | 100 | -56.4% |
| Indiana | $60 | $1,045 | 88 | 285 | -56.6% |
| Maine | $60 | $373 | 23 | 67 | -56.8% |
| Iowa | $59 | $1,005 | 31 | 141 | -57.5% |
| Wisconsin | $59 | $1,544 | 110 | 280 | -57.5% |
| South Dakota | $59 | $267 | 12 | 113 | -57.5% |
| Tennessee | $59 | $473 | 82 | 242 | -57.6% |
| Oklahoma | $58 | $335 | 36 | 119 | -57.8% |
| Kentucky | $58 | $710 | 44 | 118 | -58.1% |
| West Virginia | $58 | $222 | 18 | 63 | -58.1% |
| South Carolina | $58 | $635 | 57 | 201 | -58.2% |
| Mississippi | $58 | $918 | 40 | 157 | -58.2% |
| Kansas | $57 | $192 | 38 | 125 | -58.6% |
| Utah | $57 | $677 | 45 | 113 | -58.7% |
| Idaho | $53 | $265 | 30 | 148 | -61.3% |
⚠️ 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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