▸ Procedure · surgery · MS-DRG 331

Major small/large bowel procedures w/o CC/MCC

What US hospitals charge for major small/large bowel procedures w/o cc/mcc — negotiated rates by payer + state-by-state pricing.

Hospitals
1,457
Rate rows
30,841
Neg. median
$16,422
Neg. min
$1.68
Neg. max
$350,165
Cash median
$21,200

Across 1,457 US hospitals publishing MRFs, the negotiated rate for Major small/large bowel procedures w/o CC/MCC ranges from $1.68 to $350,165, with a median of $16,422. Half of all rates fall between $12,466 and $25,297. Cash-pay patients typically pay $21,200; hospital list (gross) prices median $54,676.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare9822888$18,260
Blue Cross Blue Shield9053904$20,005
Aetna8872070$16,291
Humana7471053$14,019
Cigna6961562$19,399
WellCare356429$15,045
Molina338481$15,246
Medicare244883$13,458
Ambetter213237$20,416
Anthem BCBS165495$19,867
Multiplan126129$90
devoted health116127$13,720
First Health109134$74.3
Kaiser Permanente102143$17,779
CareSource100117$18,121
amerigroup93116$13,012
amerihealth93143$17,220
Health Net86231$25,415
Oscar Health8389$22,903
upmc health plan80158$16,368
TRICARE78109$15,592
amerihealth caritas7882$16,350
Medicare Advantage61124$13,195
medica59263$18,523
the health plan5578$14,407
pa health & wellness5355$14,955
upmc work partners5254$9,674.01
medical mutual of ohio51115$20,964
clover health5151$16,871
alliance4747$17,615

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK8$42,595
AL33$13,270
AR6$10,827
AZ17$14,627
CA64$20,005
CO3$24,339
DE2$14,993
FL4$15,566
GA14$18,668
HI13$17,413
IA21$13,290
IL56$15,371
IN17$13,965
KS12$11,410
KY9$14,535
LA6$11,492
MA16$16,632
MD5$15,874
ME4$38,371
MI28$13,491
MN32$13,922
MO15$75
MS7$15,349
NC29$15,513
NE2$16,782
NH2$14,413
NJ22$20,529
NM2$9,337.45
NV10$16,994
NY10$25,353
OH37$15,651
OK2$2,734.8
PA62$16,934
RI3$16,801
SC18$13,342
SD2$15,593
TN20$12,646
TX67$16,138
VA11$42,586
VT5$18,666
WA12$18,288
WI43$30,372
WV10$15,337

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
Uh Geauga Medical CenterCHARDONOH$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$50.67
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Spartanburg Hospital for Restorative Care——$57.1
Osf Saint Clare Medical CenterPRINCETONIL$64.7
OSF Saint Clare Medical Center——$64.7
IOWA LUTHERAN HOSPITALDES MOINESIA$71.25
Osf Holy Family Medical CenterMONMOUTHIL$73.4
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO$74.3
Missouri Baptist Sullivan HospitalSULLIVANMO$74.3
Parkland Health CenterFARMINGTONMO$75
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO$75
Parkland Health Center——$75
St Louis Childrens HospitalST. LOUISMO$75.25
St. Louis Childrens Hospital——$75.25
AULTMAN ORRVILLE HOSPITALORRVILLEOH$75.45
Novant Health Matthews Medical CenterMATTHEWSNC$76.5
Novant Health Huntersville Medical CenterHUNTERSVILLENC$76.5
Novant Health Presbyterian Medical CenterCHARLOTTENC$76.5
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC$76.5