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Rectum Removal With Small Bowel Pouch

Vermont 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 October 2026.

How much does Rectum Removal With Small Bowel Pouch cost?

$2,754

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $2,399 to $3,162.

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.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $2,754 · 10th to 90th $2,042 to $3,715
$500$1K$2K$5Kfacility $776professional $2,754

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$2,570.40
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,162.28
Typical High
$3,162.28
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$4,786.30
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$3,801.89

Where Vermont sits

The same service costs 5.5 times more in Alaska than in Texas. 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.

Vermont· 17th of 51

$2,754

AK $6,607TX $1,202

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.