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Keyhole Creation Of A Small Bowel Opening

Delaware 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 October 2026.

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

$3,867

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $3,867 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$589 to $676
Facility feeThe hospital or surgery center$3,236$1,820 to $4,169

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,096 to $6,026Professionalmedian $631 · 10th to 90th $550 to $832
$500$1K$2K$5Kfacility $3,236professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$660.69
Median
$6,606.93
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$660.69
Typical High
$741.31
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$457.09
Median
$457.09
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$630.96
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$616.60
Typical High
$851.14

Where Delaware sits

The same service costs 5.3 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Delaware· 43rd of 51

$3,867

$631 physician + $3,236 facility

CO $11,104MT $2,095

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.