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Rectum Removal With Small Bowel Pouch

Massachusetts 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?

$5,006

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $5,006 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $2,818 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,188$1,862 to $3,715
Facility feeThe hospital or surgery center$2,818$1,862 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,000 to $5,495Professionalmedian $2,188 · 10th to 90th $1,738 to $5,248
$100.0$1.0K$10.0Kfacility $2,818professional $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
$1,862.09
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$5,248.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$11,481.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$2,511.89
Typical High
$5,011.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$3,801.89
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$3,548.13
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$4,466.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$11,481.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$5,370.32

Where Massachusetts sits

The same service costs 5.4 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMassachusetts $5,006 · 35th of 50
CA $13,054MD $2,432

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.