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Keyhole Creation of a Small Bowel Stoma

Massachusetts rates for HCPCS 44187

Brings a loop or end of the small intestine out through the abdominal wall to form a stoma, so waste empties into a bag on the skin instead of traveling through the rest of the bowel. It is done with keyhole surgery through several small incisions using a camera and long instruments. It may be temporary, to rest bowel further along, or permanent.

Rates data updated July 2026.

How much does Keyhole Creation of a Small Bowel Stoma cost?

$2,818

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $1,778 to $3,715.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,072 to $4,898
$100.0$1.0K$10.0Kfacility $2,818

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,818.38
Typical High
$6,760.83
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,818.38
Typical High
$6,760.83
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,265.80

Where Massachusetts sits

The same service costs 20.0 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $2,818 · 25th of 50
ME $21,878ND $1,096

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.