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Rectum Removal With Small Bowel Pouch

Hawaii rates for HCPCS 45113

Removes the rectum along with its lining and builds a storage pouch from the end of the small intestine, which is then joined to the anus so stool can still pass normally. A temporary opening of the bowel onto the abdomen may be created to divert stool while the new join heals. It is most often done for ulcerative colitis or for an inherited condition that causes large numbers of bowel polyps.

Rates data updated July 2026.

How much does Rectum Removal With Small Bowel Pouch cost?

$1,995

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,862 to $2,455.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $1,950 · 10th to 90th $1,660 to $2,884
$50.0$200.0$1.0K$5.0Kfacility $2,818professional $1,950

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$5,011.87
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,019.95
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,819.70
Typical High
$2,951.21

Where Hawaii sits

The same service costs 2.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $1,995 · 44th of 51
AK $4,169KY $1,862

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.