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Placement Of A Shunt To Drain Abdominal Fluid

Pennsylvania rates for HCPCS 49425

Places a soft tube under the skin that carries fluid built up in the abdomen back into a large vein, so it rejoins the bloodstream instead of collecting in the belly. A one-way valve keeps the fluid moving in that direction only.

Rates data updated July 2026.

How much does Placement Of A Shunt To Drain Abdominal Fluid cost?

$4,389

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

Insurers have agreed to pay about $4,389 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $3,631 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$692 to $912
Facility feeThe hospital or surgery center$3,631$1,660 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $759 to $8,318Professionalmedian $759 · 10th to 90th $646 to $1,175
$500$1K$2K$5K$10Kfacility $3,631professional $759

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
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,071.52
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,513.56
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,513.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,318.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$2,187.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,659.59
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$2,884.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$1,380.38

Where Pennsylvania sits

The same service costs 10.5 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Pennsylvania· 19th of 50

$4,389

$759 physician + $3,631 facility

ME $14,138MD $1,352

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.