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Keyhole Creation Of A Small Bowel Opening

Pennsylvania 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?

$6,166

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $3,802 to $7,943.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,148 to $10,471
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $6,166

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
$1,148.15
Median
$6,165.95
Typical High
$8,912.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,387.21
Typical High
$48,977.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,370.32
Typical High
$10,715.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$6,918.31
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,495.41
Typical High
$17,782.79

Where Pennsylvania 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.

Pennsylvania $6,166 · 16th 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.