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Keyhole Creation Of A Small Bowel Opening

Washington, DC rates for HCPCS 44186

Uses a camera and instruments passed through small abdominal incisions to bring a loop of the small intestine up and create an opening for a tube through the abdominal wall. The tube allows feeding directly into the intestine, or lets pressure out when the gut above is blocked. The abdomen is not opened with a large incision.

Rates data updated July 2026.

How much does Keyhole Creation Of A Small Bowel Opening cost?

$4,786

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $1,698 to $7,079.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $759 to $7,762Professionalmedian $692 · 10th to 90th $661 to $1,479
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,495professional $692

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$4,786.30
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$12,589.25
Typical High
$35,481.34

Where Washington, DC sits

The same service costs 28.2 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $4,786 · 23rd of 50
IN $18,197ND $646

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.