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Keyhole Creation Of A Small Bowel Opening

Kansas 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?

$4,986

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

Insurers have agreed to pay about $4,986 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $4,074 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$724 to $1,072
Facility feeThe hospital or surgery center$4,074$2,951 to $4,365

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,259 to $8,913Professionalmedian $912 · 10th to 90th $676 to $4,898
$1K$2K$5K$10Kfacility $4,074professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$6,456.54
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$478.63
Median
$537.03
Typical High
$741.31
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,265.80
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,981.07
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$2,818.38
Typical High
$10,964.78
Medica
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,202.26
Typical High
$4,897.79
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,548.13
Typical High
$12,302.69
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$794.33
Typical High
$1,122.02

Where Kansas 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

Kansas· 25th of 51

$4,986

$912 physician + $4,074 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.