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Continent Ileostomy With An Internal Pouch

Pennsylvania rates for HCPCS 44316

The end of the small intestine is folded into a reservoir inside the abdomen, and a one-way valve is built where it reaches the skin. Waste collects in the internal pouch and is emptied several times a day by passing a small tube through the opening, so no external bag is worn.

Rates data updated July 2026.

How much does Continent Ileostomy With An Internal Pouch cost?

$1,514

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,349 to $1,698
FacilityA hospital or hospital-owned outpatient department$5,370$1,514 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $1,479 · 10th to 90th $1,259 to $2,138
$500$1K$2K$5K$10K$20Kfacility $5,370professional $1,479

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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$1,995.26
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,290.87
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,818.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$2,691.53
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$2,398.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$2,754.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$3,090.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$3,235.94
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,412.54
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,691.53

Where Pennsylvania sits

The same service costs 2.2 times more in Alaska than in Kentucky. 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.

Pennsylvania· 39th of 51

$1,514

AK $3,162KY $1,413

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.