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Keyhole Creation Of A Small Bowel Opening

Michigan 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?

$4,832

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

Insurers have agreed to pay about $4,832 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $3,981 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$676 to $933
Facility feeThe hospital or surgery center$3,981$2,570 to $5,623

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,047 to $7,762Professionalmedian $851 · 10th to 90th $603 to $977
$200$500$1K$2K$5K$10Kfacility $3,981professional $851

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
$851.14
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$588.84
Median
$602.56
Typical High
$602.56
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$7,079.46
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$758.58
Typical High
$1,288.25
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$831.76
Typical High
$954.99
Health Alliance Plan
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Priority Health
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Priority Health
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$707.95
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$2,818.38
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$933.25
Typical High
$1,047.13

Where Michigan 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

Michigan· 27th of 51

$4,832

$851 physician + $3,981 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.