Ileostomy Cost by Hospital

Ileostomy is a surgical procedure. Prices are from 1011 US hospitals across 51 states, from their machine-readable files.

$2,134median cash price · 1011 hospitals, 51 statestypically $567–$5,400 depending on the hospital
≈ 2.2× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$3,079
Cash / self-pay
$2,134
Insurer-negotiated
$2,281
Medicare pays
$968
$567$5,400
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 $3,079 list price could save about $945 (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 — 144 min —
St Francis Hospital & Medical Center Hartford, CT $360 $282 ★ 2/5 275 min —
Saint Mary's Hospital Waterbury, CT $360 $282 ★ 3/5 249 min —
Holy Cross Hospital Ft Lauderdale, FL $360 $399 ★ 4/5 159 min —
Mercyone Clinton Medical Center Clinton, IA $360 $359 ★ 4/5 123 min —
Mercyone Des Moines Medical Center Des Moines, IA $360 $359 ★ 1/5 244 min —
Mercyone Siouxland Medical Center Sioux City, IA $360 $359 ★ 2/5 199 min —
Holy Cross Hospital Silver Spring, MD $360 $360 ★ 2/5 314 min —
Mercy Medical Ctr Springfield, MA $360 $240 ★ 2/5 275 min —
Trinity Health Ann Arbor Hospital Ann Arbor, MI $360 $333 ★ 4/5 241 min —
St Peters Health Helena, MT $360 $420 ★ 3/5 179 min —
Mercy Catholic Medical Center-Mercy Fitzgerald Darby, PA $360 $263 ★ 2/5 223 min —
Nazareth Hospital Philadelphia, PA $360 $263 ★ 2/5 222 min —
St Mary Medical Center Langhorne, PA $360 $263 ★ 2/5 237 min —
M Health Fairview Ridges Hospital Burnsville, MN $425 $993 ★ 4/5 190 min —
University Medical Center of El Paso El Paso, TX $488 $1,539 ★ 3/5 240 min —
Saint Vincent Hospital Erie, PA $525 $761 ★ 4/5 219 min —
Unity Health-Jacksonville Jacksonville, AR $526 — — 130 min —
Unity Health-Newport Newport, AR $526 — — 103 min —
Jefferson Hospital Louisville, GA $554 $761 — 99 min —
Jefferson Hospital Jefferson Hills, PA $554 $761 ★ 4/5 170 min —
O'connor Hospital Delhi, NY $567 $764 — 95 min —
Little Falls Hospital Little Falls, NY $567 $632 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $567 $719 ★ 4/5 111 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $572 $1,525 ★ 2/5 174 min —

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 October 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 79
$282
$53 – $850
Health Net 53
$360
$56 – $2,251
Medicare 95
$425
$75 – $985
Tricare / VA 67
$459
$79 – $1,043
Highmark 54
$471
$76 – $1,172
Amerigroup 52
$474
$474 – $2,187
Kaiser Permanente 54
$497
$68 – $2,329
Centene / Ambetter 225
$503
$57 – $2,250
Blue Cross Blue Shield 430
$513
$80 – $6,528
AmeriHealth 71
$566
$110 – $2,251
Geisinger 26
$761
$152 – $2,357
Anthem 218
$782
$80 – $7,221
MultiPlan / PHCS network 98
$806
$92 – $3,646
Molina Healthcare 202
$911
$80 – $2,702
Sanford Health Plan 25
$919
$289 – $3,429
Security Health Plan 18
$919
$360 – $2,921
Priority Health 25
$961
$360 – $2,251
HealthPartners 64
$974
$108 – $3,975
UCare 25
$993
$360 – $2,555
Devoted Health 36
$1,012
$968 – $13,732
Humana 295
$1,034
$82 – $3,719
Coventry 26
$1,155
$185 – $2,478
Independent Health 18
$1,177
$474 – $1,177
Aetna 411
$1,223
$150 – $7,166
MVP Health Care 35
$1,285
$329 – $3,276
UPMC Health Plan 26
$1,633
$360 – $7,074
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 619
$2,251
$234 – $9,360
SelectHealth 18
$2,328
$360 – $5,307
Oscar Health 72
$3,435
$750 – $6,587
EmblemHealth 33
$3,449
$1,785 – $18,107
AvMed 31
$4,281
$360 – $11,304
Healthcare Highways 24
$5,841
$2,069 – $14,612
Cigna 379
$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
Pennsylvania$772
Mississippi$831
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

TexasFloridaNew YorkOhioCaliforniaWisconsinPennsylvaniaIllinoisMinnesotaColoradoMichiganTennesseeIowaLouisianaIndianaMaineNorth CarolinaNew JerseyGeorgiaWashingtonKentuckyWest VirginiaKansasOklahomaMissouriVirginiaUtahNebraskaNew HampshireSouth CarolinaConnecticutArizonaArkansasAlabamaMontanaMississippiMassachusettsNevadaWyomingSouth DakotaNorth DakotaVermontIdahoNew MexicoMaryland

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 1011 US hospitals across 51 states, the typical (median) cash price is $2,134, versus a chargemaster (list) price around $3,079, a median insurer-negotiated rate of $2,281, a Medicare rate of about $968. Most cash prices fall between $567 and $5,400 — 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 1011 US hospitals is $2,134. Most hospitals fall between $567 and $5,400. 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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