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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 78 - Return to OR - related procedure 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $935.56 national non-facility rate (2026) · View Medicare rates for 44314 |
| Medicaid Fee Schedule | $741.81 median of the 8 states in the free preview · View Medicaid rates for 44314 |
National average reimbursement for CPT 44314 by major payers:

$1,232.33

$1,334.18

$1,434.72

$1,607.19
Choose a payer to see a sample of rates for CPT 44314.
Surgery Center, LLC
The Surgery Center, LLC
Surgical Elite Of Avondale, LLC
Surgical Elite Of Avondale LLC
Massac County Surgery Center LLC, The Orthopaedic Institute Surgery Center
Massac County Surgery Center LLC
Raleigh Nc Endoscopy Asc LLC, Raleigh Endoscopy Center - North
Raleigh Nc Endoscopy Asc LLC
Edgeworth Commons Group LLC, Surgery Center At Edgworth Commons
Edgeworth Commons Group LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 44314 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44314 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 44314 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 44310-CPT | High | Ileostomy |
| 44312-CPT | Moderate | Revision Of Ileostomy, Release Of Superficial Scar Tissue From Surgically Created Opening Into Lower Small Bowel From Body Wall (Ileostomy) |
| 44314-CPT | High | Revisn Of Ileostomy; Complic (Reconstr In-Depth) (Sepa, Revision Of Ileostomy; Complicated (Reconstruction In-Depth) (Separate |
| 44316-CPT | High | Ileostomy Continent (Koch) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44314 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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