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See a sample rate comparisonCPT 44320 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Surgery To Create Colostomy, Surgery To Create An Opening Through The Abdomen Into The Intestine For Removing Bodily Waste (Colostomy).
| 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 | 58 - Staged or related procedure during postoperative period GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,121.94 national non-facility rate (2026) · View Medicare rates for 44320 |
| Medicaid Fee Schedule | $883.115 median of the 8 states in the free preview · View Medicaid rates for 44320 |
National average reimbursement for CPT 44320 by major payers:
$1,405.33
$1,590.34
$1,712.05
$1,906.81
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CPT 44320
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$16,236.00Published rateHamilton Surgery Center L.L.C., Surger Center At Hamilton
Hamilton Surgery Center, LLC
$849.00Published rateIdaho Physical Medicine And Rehabilitation PA
Idaho Physical Medicine & Rehabilitation, PA
$670.00Published ratePremier Gastroenterology Associates PLLC, Premier Surgery Center
Premier Gastroenterology Associates, PLLC
$407.00Published rateWestern PA Surgery Center, Wexford Branch, LLC, Western PA Surgery Center
Western PA Surgery Center
$115.00Published rate
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See a sample payer proposalCPT 44320 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44320 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 44320 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 |
|---|---|---|
| 44188-CPT | High | Intestine Surgery With Scope, Surgery Aided By A Scope (Laparoscope) To Create An Opening Into The Intestines. The Opening Typically May Be Used For Feeding Decompression Or Drainage. |
| 44238-CPT | High | Unlisted Laparoscopy Procedure, Intestine (Except Rectum) |
| 44300-CPT | High | Placement Enterostomy Or Ceco, Placement Enterostomy Or Cecostomy Tube Open (E.G. For Feeding Or Decompression) (Separate Procedure) |
| 44320-CPT | High | Surgery To Create Colostomy, Surgery To Create An Opening Through The Abdomen Into The Intestine For Removing Bodily Waste (Colostomy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44320 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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