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Small Intestine Surgery for a Birth Defect

Pennsylvania rates for HCPCS 44126

A surgery, usually performed in a newborn or infant, that removes a segment of small intestine that failed to properly form a passageway during development and reconnects the healthy ends together. This version treats a single affected area and does not include narrowing the wider segment of bowel above the defect to help it function better. It is used to restore a continuous, working intestinal passage in infants born with this type of intestinal blockage.

Rates data updated July 2026.

How much does Small Intestine Surgery for a Birth Defect cost?

$2,630

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,570$2,344 to $2,951
FacilityA hospital or hospital-owned outpatient department$5,370$2,630 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $2,570 · 10th to 90th $2,188 to $4,786
$10.0$100.0$1.0K$10.0Kfacility $5,370professional $2,570

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$3,981.07
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$4,897.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$4,677.35
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$4,073.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$5,754.40
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$2,398.83
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,677.35

Where Pennsylvania sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $2,630 · 43rd of 51
MN $5,623KY $2,455

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.