Ileostomy Cost by Hospital

Ileostomy is a surgical procedure. Prices are from 992 US hospitals across 51 states, from their machine-readable files.

$2,134median cash price · 992 hospitals, 51 statestypically $567–$5,419 depending on the hospital
≈ 2.2× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$3,085
Cash / self-pay
$2,134
Insurer-negotiated
$2,332
Medicare pays
$968
$567$5,419
Median cash $2,134  ·  Medicare $968  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $2,134 — about 2.2× the Medicare rate ($968). On the higher side. A fair cash price is usually within ~2× Medicare ($1,935).

💡 Asking for the cash price instead of the $3,085 list price could save about $951 (31%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Holy Cross Hospital Nogales, AZ $360 $360 — 141 min —
St Francis Hospital & Medical Center Hartford, CT $360 $282 ★ 2/5 275 min 14.8%
Saint Mary's Hospital Waterbury, CT $360 $282 ★ 3/5 267 min 15.5%
Holy Cross Hospital Ft Lauderdale, FL $360 $399 ★ 4/5 161 min 14.8%
Mercyone Clinton Medical Center Clinton, IA $360 $359 ★ 4/5 121 min 14.5%
Mercyone Des Moines Medical Center Des Moines, IA $360 $359 ★ 1/5 250 min 13.6%
Mercyone Siouxland Medical Center Sioux City, IA $360 $359 ★ 2/5 198 min 15.1%
Holy Cross Hospital Silver Spring, MD $360 $360 ★ 2/5 314 min 15.5%
Mercy Medical Ctr Springfield, MA $360 $240 ★ 2/5 278 min 15.7%
Trinity Health Ann Arbor Hospital Ann Arbor, MI $360 $333 ★ 4/5 234 min 15.5%
St Peters Health Helena, MT $360 $420 ★ 3/5 178 min 14.3%
Mercy Catholic Medical Center-Mercy Fitzgerald Darby, PA $360 $263 ★ 2/5 213 min 15.0%
Nazareth Hospital Philadelphia, PA $360 $263 ★ 2/5 216 min 14.5%
St Mary Medical Center Langhorne, PA $360 $263 ★ 2/5 229 min 16.6%
M Health Fairview Ridges Hospital Burnsville, MN $425 $993 ★ 4/5 193 min 13.8%
University Medical Center of El Paso El Paso, TX $488 $1,539 ★ 3/5 242 min 15.4%
Saint Vincent Hospital Erie, PA $525 $761 ★ 4/5 212 min 14.7%
Unity Health-Jacksonville Jacksonville, AR $526 — — 130 min 15.2%
Unity Health-Newport Newport, AR $526 — — 104 min 15.4%
Jefferson Hospital Louisville, GA $554 $761 — 92 min 15.2%
Jefferson Hospital Jefferson Hills, PA $554 $761 ★ 4/5 172 min 15.4%
O'connor Hospital Delhi, NY $567 $764 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $567 $632 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $567 $719 ★ 4/5 109 min 14.6%
Nacogdoches Memorial Hospital Nacogdoches, TX $572 $1,525 ★ 2/5 178 min 15.4%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Ileostomy

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $2,134; Medicare pays $968.

InsurerHospitalsNegotiated median
Univera 12
$200
$105 – $1,251
Medicaid 76
$282
$53 – $837
Health Net 52
$360
$56 – $2,251
Medicare 93
$425
$75 – $985
Tricare / VA 67
$459
$79 – $1,043
Highmark 46
$471
$76 – $1,172
Amerigroup 51
$474
$474 – $2,143
Kaiser Permanente 54
$497
$68 – $2,329
Centene / Ambetter 215
$503
$57 – $2,250
Blue Cross Blue Shield 425
$513
$80 – $6,528
AmeriHealth 69
$551
$110 – $2,251
Anthem 203
$760
$80 – $7,323
Geisinger 24
$761
$152 – $2,254
MultiPlan / PHCS network 95
$806
$85 – $3,402
Molina Healthcare 197
$838
$80 – $2,702
Sanford Health Plan 24
$919
$266 – $2,948
Security Health Plan 18
$919
$360 – $2,921
Priority Health 25
$961
$360 – $2,251
HealthPartners 62
$974
$108 – $3,975
UCare 24
$993
$360 – $2,555
Devoted Health 34
$1,012
$967 – $13,780
Humana 286
$1,034
$82 – $3,719
Coventry 24
$1,146
$185 – $2,477
Independent Health 18
$1,177
$474 – $1,177
Aetna 389
$1,207
$144 – $7,347
MVP Health Care 34
$1,285
$329 – $3,276
UPMC Health Plan 24
$1,773
$360 – $7,897
Workers' Comp / No-Fault 16
$1,774
$1,774 – $1,774
Harvard Pilgrim 13
$1,998
$360 – $3,548
Medica 44
$2,067
$724 – $3,332
UnitedHealthcare 598
$2,251
$234 – $9,360
SelectHealth 18
$2,328
$360 – $5,307
EmblemHealth 19
$3,307
$1,785 – $18,107
Oscar Health 68
$3,435
$750 – $6,587
AvMed 31
$4,281
$360 – $11,304
Healthcare Highways 24
$5,841
$2,069 – $14,612
Cigna 371
$5,929
$497 – $22,360

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Massachusetts$360
Mississippi$757
Pennsylvania$772
Tennessee$973
North Carolina$974
Arkansas$1,013

Prices by city

Chicago, ILAustin, TXHouston, TXDallas, TXFort Worth, TXNew York, NYSan Antonio, TXArlington, TXBrooklyn, NYNashville, TNRochester, NYAurora, COBronx, NYCleveland, OHColorado Springs, COKnoxville, TNMilwaukee, WIPlano, TXBakersfield, CABangor, MECharlotte, NCCincinnati, OHColumbus, OHDenver, CO

Prices by state

TexasFloridaOhioNew YorkCaliforniaWisconsinIllinoisColoradoMinnesotaMichiganTennesseePennsylvaniaLouisianaIowaIndianaMaineNorth CarolinaNew JerseyGeorgiaWashingtonKentuckyWest VirginiaKansasMissouriOklahomaNebraskaUtahVirginiaSouth CarolinaNew HampshireConnecticutArizonaArkansasAlabamaMontanaMississippiMassachusettsWyomingSouth DakotaNevadaNorth DakotaIdahoNew MexicoVermontMaryland

Does Medicare cover Ileostomy?

Yes — Medicare generally covers Ileostomy. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $968. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 992 US hospitals across 51 states, the typical (median) cash price is $2,134, versus a chargemaster (list) price around $3,085, a median insurer-negotiated rate of $2,332, a Medicare rate of about $968. Most cash prices fall between $567 and $5,419 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Ileostomy cost without insurance?
The median cash (self-pay) price across 992 US hospitals is $2,134. Most hospitals fall between $567 and $5,419. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Ileostomy?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $968). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Ileostomy?
Medicare pays about $968. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Ileostomy prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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