Partial removal of large bowel with creation of opening from large bowel to skin
Medicare pricing data for 6,144 providers across 51 states
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 creation of opening from large bowel to skin (HCPCS code 44143) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,363, but hospitals typically charge $4,995 — 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 $1,363, your out-of-pocket cost would be approximately $272.60. 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 $1,087 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,738 | $5,228 | 22 | 34 | +27.5% |
| Michigan | $1,526 | $4,114 | 169 | 239 | +11.9% |
| New York | $1,513 | $7,509 | 344 | 545 | +11.0% |
| Virginia | $1,505 | $4,187 | 140 | 208 | +10.4% |
| Hawaii | $1,475 | $3,350 | 10 | 12 | +8.2% |
| Maryland | $1,467 | $4,087 | 140 | 233 | +7.6% |
| Connecticut | $1,451 | $5,992 | 92 | 145 | +6.5% |
| Illinois | $1,447 | $5,449 | 250 | 415 | +6.2% |
| Georgia | $1,427 | $4,698 | 177 | 267 | +4.7% |
| New Jersey | $1,427 | $10,405 | 186 | 400 | +4.7% |
| Massachusetts | $1,423 | $5,334 | 154 | 235 | +4.4% |
| Florida | $1,419 | $4,596 | 500 | 883 | +4.1% |
| Nevada | $1,413 | $4,335 | 49 | 78 | +3.6% |
| California | $1,400 | $4,804 | 444 | 658 | +2.7% |
| Texas | $1,400 | $5,310 | 368 | 534 | +2.7% |
| Pennsylvania | $1,393 | $4,413 | 317 | 453 | +2.2% |
| Delaware | $1,380 | $3,736 | 23 | 41 | +1.2% |
| Alaska | $1,380 | $13,758 | 23 | 34 | +1.2% |
| Tennessee | $1,377 | $4,305 | 141 | 215 | +1.0% |
| Ohio | $1,372 | $4,500 | 246 | 340 | +0.6% |
| Louisiana | $1,356 | $4,387 | 76 | 108 | -0.5% |
| Wyoming | $1,349 | $3,983 | 13 | 23 | -1.1% |
| Mississippi | $1,348 | $3,930 | 53 | 97 | -1.1% |
| Arizona | $1,343 | $4,098 | 118 | 206 | -1.4% |
| Oklahoma | $1,339 | $3,715 | 69 | 129 | -1.8% |
| Montana | $1,330 | $4,115 | 41 | 57 | -2.4% |
| South Carolina | $1,318 | $4,419 | 119 | 202 | -3.3% |
| North Carolina | $1,310 | $4,143 | 196 | 274 | -3.9% |
| Alabama | $1,297 | $3,078 | 91 | 137 | -4.8% |
| Iowa | $1,296 | $4,346 | 58 | 92 | -4.9% |
| New Mexico | $1,290 | $4,674 | 43 | 56 | -5.3% |
| Kentucky | $1,282 | $3,600 | 110 | 195 | -5.9% |
| Missouri | $1,274 | $4,052 | 120 | 189 | -6.5% |
| West Virginia | $1,260 | $4,111 | 59 | 91 | -7.5% |
| Arkansas | $1,254 | $3,184 | 67 | 118 | -8.0% |
| Rhode Island | $1,247 | $4,192 | 22 | 28 | -8.5% |
| Washington | $1,239 | $4,104 | 151 | 242 | -9.1% |
| Utah | $1,226 | $3,886 | 31 | 43 | -10.1% |
| Wisconsin | $1,221 | $8,517 | 136 | 183 | -10.4% |
| Kansas | $1,220 | $3,316 | 57 | 96 | -10.5% |
| North Dakota | $1,219 | $4,792 | 19 | 26 | -10.6% |
| Maine | $1,185 | $3,423 | 49 | 67 | -13.1% |
| Minnesota | $1,185 | $5,944 | 121 | 167 | -13.1% |
| Oregon | $1,180 | $4,385 | 101 | 138 | -13.4% |
| Colorado | $1,158 | $4,006 | 102 | 137 | -15.1% |
| Indiana | $1,156 | $3,416 | 137 | 215 | -15.2% |
| New Hampshire | $1,146 | $5,668 | 41 | 58 | -15.9% |
| Vermont | $1,111 | $5,434 | 13 | 16 | -18.5% |
| Nebraska | $1,051 | $3,922 | 51 | 77 | -22.9% |
| South Dakota | $965 | $3,394 | 31 | 47 | -29.2% |
| Idaho | $903 | $3,560 | 39 | 51 | -33.7% |
⚠️ 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