Costs for the treatment of IBD are not well studied. However, ileostomy surgery may cost approximately $39,000 and j-pouch surgery may cost $50,000. The amount that is covered by insurance will depend on a number of factors. Choosing a surgeon and a hospital that are in your network may help in lowering costs. Working with the insurance company, the hospital, and the surgeon’s office will be important in understanding costs and how to lower them. Understanding what the costs are before having surgery is important. Getting more than one opinion may also be helpful in lowering costs.