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Rectum Removal With Pull-Through And Bowel Pouch

Iowa rates for HCPCS 45119

Major surgery that removes the rectum, the last section of the large bowel, working through both an incision in the abdomen and access from the area around the anus. The end of the remaining colon is then folded and joined to itself to build a pouch that serves as a new reservoir for stool, and that pouch is brought down and connected to the anal canal. A temporary opening on the abdomen is sometimes made in the same operation to divert stool while the new join heals.

Rates data updated July 2026.

How much does Rectum Removal With Pull-Through And Bowel Pouch cost?

$7,057

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

Insurers have agreed to pay about $7,057 for this procedure. That total is two separate charges: $2,692 to the doctor who performs it, and $4,365 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$2,692$1,905 to $3,890
Facility feeThe hospital or surgery center$4,365$2,951 to $6,457

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,905 to $7,943Professionalmedian $2,692 · 10th to 90th $1,738 to $7,586
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,365professional $2,692

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
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$4,265.80
Typical High
$5,248.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,162.28
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,630.78
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,890.45
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$5,248.07
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,801.89
Typical High
$4,168.69

Where Iowa sits

The same service costs 5.5 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 feeIowa $7,057 · 15th of 50
CA $13,103MD $2,386

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.