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Continent Ileostomy With An Internal Pouch

South Dakota 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?

$2,188

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $2,138 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 7 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$2,188$1,413 to $3,090
FacilityA hospital or hospital-owned outpatient department$2,138$1,585 to $3,162

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,318 to $4,365Professionalmedian $2,188 · 10th to 90th $1,259 to $3,890
$1K$2K$5K$10Kfacility $2,138professional $2,188

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
$1,380.38
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,162.28
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,187.76
Typical High
$3,630.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$3,388.44

Where South Dakota 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.

South Dakota· 9th of 51

$2,188

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.