CPT 44120 Surgery - Digestive

How Much Does Removal of Small Intestine Cost?

Also known as: Removal of small intestine (CPT 44120)

Surgical removal of part of the small intestine.

The total estimated cost of Removal of Small Intestine (CPT 44120) is $3,818 to $7,158, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $1,136.

Total Estimated Cost of Care

$3,818 — $7,158

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$1,136
Hospital Facility Fee
$3,409
Anesthesia (est.)
$227
Important: The physician fee of $1,136 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$1,136
Physician component only — CMS PFS 2026

Patient Guide: Removal of Small Intestine

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon removes the diseased portion of the small intestine and reconnects the healthy ends.

How Long Does It Take?

1-3 hours

Common Reasons Doctors Order This

Small bowel obstruction, Crohn disease, small bowel tumor, bowel ischemia, small bowel perforation

How to Prepare

Fast before surgery. Hospital stay is typically 3-7 days. Your diet will be gradually advanced as your bowel function returns.

Procedures Commonly Done Together

These procedures are frequently performed alongside Removal of small intestine

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How to Reduce Your Cost for Removal of small intestine

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

20.30
Work RVU
8.62
Practice Expense RVU
5.10
Malpractice RVU
34.02
Total RVU

Payment = Total RVU (34.02) x CF ($33.40) = $1,136

Frequently Asked Questions

How much does Removal of small intestine cost?

The Medicare facility rate for Removal of small intestine is $1,136. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Removal of small intestine cost without insurance?

Without insurance, the cost of Removal of small intestine can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Removal of small intestine?

Most commercial health insurance plans and Medicare cover Removal of small intestine when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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