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Colectomy and Colostomy Cost: Surgery, Reversal and the Monthly Bill After

9 min readUpdated August 2026Typical 2026 ranges, not quotes
Bottom line

A partial colectomy in the US bills $30,000 to $60,000 or more at hospital charges and typically settles at $18,000 to $35,000 cash-pay all-in; a colostomy or ileostomy creation adds to that, and a later reversal is a second operation at $15,000 to $30,000. At accredited Colombian hospitals a laparoscopic partial colectomy typically runs $7,500 to $13,000 and an ostomy reversal $5,000 to $9,000. Ongoing ostomy supplies cost $300 to $600 per month in the US without insurance.

Colectomy pricing is harder to pin down than most surgery because the operation varies enormously: a 90-minute laparoscopic sigmoid resection for recurrent diverticulitis and a 5-hour open total colectomy with ileostomy for cancer are both "colectomy." This guide gives the ranges by type, explains ostomy costs, and covers what is realistic to do abroad.

Typical 2026 prices

Colectomy and ostomy procedures

All-in typical 2026, cash-pay
Line itemUSAColombia
Laparoscopic partial colectomysigmoid or right, benign disease$18,000 – $35,000$7,500 – $13,000
Open partial colectomy$22,000 – $45,000$8,500 – $15,000
Total colectomywith ileostomy or ileorectal anastomosis$35,000 – $70,000$14,000 – $24,000
Colostomy or ileostomy creationas a standalone procedure$12,000 – $25,000$4,500 – $8,000
Ostomy reversalHartmann reversal or ileostomy takedown$15,000 – $30,000$5,000 – $9,000
Hospital stayper inpatient night, typical 3–7 nights$1,500 – $4,000$250 – $600
Ostomy suppliesper month, self-pay$300 – $600$80 – $200
All-in typical range$12,000 – $70,000$4,500 – $24,000
US figures are hospital self-pay ranges after discount; billed charges run 1.5 to 2.5 times higher. Colombia figures are accredited-hospital ranges, moderate confidence. Cancer colectomy adds oncology work-up, pathology staging, and often chemotherapy that is outside these ranges in both countries.

Why colectomy costs what it does

Colostomy vs ileostomy, temporary vs permanent

An ostomy diverts stool through the abdominal wall into a pouch. A colostomy uses the colon; an ileostomy uses the small bowel. Many are temporary, created to protect a fresh anastomosis or in an emergency (perforated diverticulitis, obstruction), and reversed 3 to 12 months later in a second operation. The reversal is billed as separate surgery and is one of the most common places uninsured patients get stuck: the emergency surgery happened, the reversal is elective, and elective surgery requires payment arrangements.

The reversal is the travel-appropriate half. An ostomy reversal is planned, elective, and well-suited to an accredited Colombian colorectal program at $5,000 to $9,000 versus $15,000 to $30,000 US cash. The original emergency surgery is not something to travel for. If you are living with a temporary ostomy and the reversal has been delayed by cost, this is the procedure to price abroad.

Ongoing ostomy costs

Pouches, wafers, barrier rings, and adhesive remover run $300 to $600 per month self-pay in the US, less with insurance or Medicare. Manufacturer assistance programs and organizations like the United Ostomy Associations of America maintain lists of supply assistance. In Colombia the same brand supplies typically cost 40 to 60 percent less at retail.

Conditions behind most colectomies

Credentials to verify before booking in Colombia. Surgeon license on ReTHUS, the national health-professional registry; specialty board membership (SCCOT for orthopedics and traumatology, ACC for general surgery, SCCP for plastic surgery); and the name of the hospital where the procedure is performed. JCI accreditation applies to hospitals, never to standalone clinics.

Why Colombia keeps appearing in these tables. The World Health Organization's 2000 World Health Report ranked Colombia's health system #22 in the world and #1 in the Western Hemisphere, ahead of the United States and Canada. That report has not been repeated, so for current verification pair it with two live anchors: JCI accreditation (a hospital-level credential; standalone clinics are not JCI-accredited) and ReTHUS, Colombia's national health-professional registry at rethus.gov.co, where any surgeon's license can be checked.

Price a colectomy or ostomy reversal at an accredited Colombian hospital

Send your diagnosis, prior operative report if any, and imaging. Our Medellín-based team routes to colorectal surgeons at accredited Colombian hospitals and returns itemized quotes within 48 hours.

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Frequently Asked

How much does a colectomy cost?

In the US, $18,000 to $35,000 cash-pay all-in for a laparoscopic partial colectomy and $35,000 to $70,000 for a total colectomy; hospital billed charges run higher. At accredited Colombian hospitals, $7,500 to $13,000 and $14,000 to $24,000 respectively.

How much does a colostomy cost?

Creating a colostomy or ileostomy as a standalone procedure typically runs $12,000 to $25,000 US cash-pay and $4,500 to $8,000 in Colombia. When part of a colectomy, it is usually inside that price.

How much does colostomy reversal cost?

$15,000 to $30,000 US cash-pay; $5,000 to $9,000 at an accredited Colombian hospital. It is elective surgery and the most travel-appropriate part of ostomy care.

How much do ostomy supplies cost per month?

$300 to $600 self-pay in the US, depending on pouch system and change frequency. Manufacturer and nonprofit assistance programs exist; supplies in Colombia cost 40 to 60 percent less.

Can I have colectomy surgery in Colombia?

Elective colectomy (diverticulitis, polyps) and ostomy reversal, yes, at accredited hospitals with colorectal surgeons. Emergency surgery, no. Cancer resection is possible but should be coordinated with your oncology team at home.

Editorial disclosure: Surgery Cost publishes independent price research. When readers request quotes through our Colombia partner network at Colombia Medical, we may receive a referral fee from participating clinics. Referral fees do not influence pricing shown or which providers we list. All figures are typical 2026 market ranges, not binding quotes. Request an itemized written estimate before booking any procedure. Nothing here is medical advice.