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Rectum Removal With Small Bowel Pouch

New Jersey 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?

$8,452

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $8,452 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $6,457 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,778 to $2,692
Facility feeThe hospital or surgery center$6,457$4,467 to $9,772

How much rates vary

Facilitymedian $6,457 · 10th to 90th $2,399 to $11,749Professionalmedian $1,995 · 10th to 90th $1,622 to $4,266
$100.0$500.0$2.0K$10.0Kfacility $6,457professional $1,995

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
$3,162.28
Median
$6,760.83
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$4,466.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$3,630.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$4,073.80

Where New Jersey 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 feeNew Jersey $8,452 · 10th 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.