{"procedure":{"code_type":"CPT","code":"46270","lay_name":"Repair of a shallow anal fistula","blurb":"Surgery to open or remove an abnormal tunnel just under the skin near the anus.","slug":"cpt-46270-repair-of-a-shallow-anal-fistula","description":"PR Removal Anal Fistula,Subcutaneous","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"96","label":"Other OR lower GI therapeutic procedures","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":1171,"n_usable":1072,"n_not_usable":0,"n_labelled":59,"n_no_cash":33,"n_estimated":7,"n_states":50,"cash_p10":573.12,"cash_p20":791.11,"cash_p25":884.45,"cash_p50":2198.95,"cash_p75":4595.0,"cash_p80":5316.57,"cash_p90":7861.97,"cash_mean_trimmed":2481.55,"gross_p50":2755.0,"cash_to_gross_p50":0.65,"medicare_rate":2835.78,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.7754,"by_state":[{"state":"AK","n":9,"p20":null,"p50":null,"p80":null},{"state":"AL","n":14,"p20":710.6,"p50":2449.18,"p80":8444.33},{"state":"AR","n":18,"p20":813.8,"p50":1559.48,"p80":4345.39},{"state":"AZ","n":7,"p20":null,"p50":null,"p80":null},{"state":"CA","n":77,"p20":1282.05,"p50":4264.0,"p80":10057.6},{"state":"CO","n":15,"p20":756.7,"p50":1248.0,"p80":2324.0},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":25,"p20":1782.05,"p50":5743.54,"p80":7032.8},{"state":"GA","n":15,"p20":2309.8,"p50":6653.0,"p80":6653.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":43,"p20":801.32,"p50":1284.0,"p80":1563.0},{"state":"ID","n":16,"p20":1259.8,"p50":3046.62,"p80":7189.0},{"state":"IL","n":39,"p20":724.8,"p50":1406.0,"p80":7119.0},{"state":"IN","n":22,"p20":471.45,"p50":654.89,"p80":2922.0},{"state":"KS","n":31,"p20":573.12,"p50":868.0,"p80":2335.8},{"state":"KY","n":14,"p20":489.75,"p50":568.8,"p80":1258.0},{"state":"LA","n":20,"p20":919.04,"p50":2600.64,"p80":4079.0},{"state":"MA","n":19,"p20":1853.6,"p50":4709.41,"p80":5281.52},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":12,"p20":338.0,"p50":682.5,"p80":1407.0},{"state":"MI","n":43,"p20":709.7,"p50":765.0,"p80":8198.66},{"state":"MN","n":45,"p20":821.86,"p50":1840.35,"p80":2376.3},{"state":"MO","n":29,"p20":643.45,"p50":1443.65,"p80":5300.59},{"state":"MS","n":17,"p20":589.05,"p50":1402.5,"p80":3613.18},{"state":"MT","n":16,"p20":594.4,"p50":797.53,"p80":1621.0},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":15,"p20":779.42,"p50":1180.0,"p80":1280.1},{"state":"NH","n":9,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":34,"p20":2997.1,"p50":3579.19,"p80":5741.0},{"state":"NM","n":9,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":66,"p20":824.0,"p50":3245.23,"p80":4595.0},{"state":"OH","n":63,"p20":1014.39,"p50":3249.75,"p80":8534.5},{"state":"OK","n":15,"p20":863.1,"p50":863.1,"p80":5051.93},{"state":"OR","n":31,"p20":984.1,"p50":1504.8,"p80":6829.5},{"state":"PA","n":32,"p20":272.4,"p50":1015.2,"p80":5316.57},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":14,"p20":450.66,"p50":3470.42,"p80":4944.49},{"state":"TX","n":43,"p20":2774.0,"p50":3721.44,"p80":5089.88},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":12,"p20":1806.09,"p50":7204.2,"p80":11222.4},{"state":"VT","n":10,"p20":553.42,"p50":903.0,"p80":1297.8},{"state":"WA","n":37,"p20":833.8,"p50":1622.4,"p80":4883.9},{"state":"WI","n":56,"p20":884.45,"p50":2198.95,"p80":2943.9},{"state":"WV","n":18,"p20":451.5,"p50":1840.0,"p80":6022.5},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":725,"p20":884.45,"p50":3245.23,"p80":6653.0},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":331,"p20":682.5,"p50":1142.25,"p80":2838.55}],"ownership":[{"key":"for_profit","n":96,"p20":1402.5,"p50":4079.0,"p80":7931.43},{"key":"government","n":207,"p20":723.46,"p50":1351.0,"p80":3406.14},{"key":"nonprofit","n":765,"p20":808.68,"p50":2205.17,"p80":5339.0}],"affiliation":[{"key":"affiliated","n":814,"p20":863.1,"p50":2774.0,"p80":6022.5},{"key":"independent","n":258,"p20":679.0,"p50":1259.8,"p80":3601.45}]},"histogram":[{"lo":440.01,"hi":601.68,"n":67},{"lo":601.68,"hi":822.75,"n":108},{"lo":822.75,"hi":1125.05,"n":122},{"lo":1125.05,"hi":1538.42,"n":86},{"lo":1538.42,"hi":2103.67,"n":82},{"lo":2103.67,"hi":2876.61,"n":86},{"lo":2876.61,"hi":3933.55,"n":135},{"lo":3933.55,"hi":5378.83,"n":121},{"lo":5378.83,"hi":7355.14,"n":90},{"lo":7355.14,"hi":10057.6,"n":70}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":611,"n_usable":552,"n_not_usable":0,"n_labelled":22,"n_no_cash":37,"n_estimated":0,"n_states":48,"cash_p10":481.26,"cash_p20":693.5,"cash_p25":797.53,"cash_p50":1625.4,"cash_p75":3975.4,"cash_p80":4475.2,"cash_p90":6653.0,"cash_mean_trimmed":1972.5,"gross_p50":2041.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":64,"p20":1625.4,"p50":4264.0,"p80":10057.6},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":763.74,"p50":7032.8,"p80":7032.8},{"state":"GA","n":7,"p20":null,"p50":null,"p80":null},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":936.6,"p50":1284.0,"p80":1462.0},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":21,"p20":471.45,"p50":936.6,"p80":1752.0},{"state":"IN","n":15,"p20":471.45,"p50":510.95,"p80":1780.35},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":12,"p20":2428.0,"p50":4814.25,"p80":5617.5},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":20,"p20":612.0,"p50":773.0,"p80":3300.12},{"state":"MN","n":31,"p20":795.02,"p50":1789.5,"p80":2099.68},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":9,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":31,"p20":640.5,"p50":1024.0,"p80":5224.5},{"state":"OH","n":45,"p20":903.6,"p50":3249.75,"p80":3975.4},{"state":"OK","n":11,"p20":863.1,"p50":863.1,"p80":863.1},{"state":"OR","n":16,"p20":984.1,"p50":1180.5,"p80":7656.0},{"state":"PA","n":22,"p20":481.26,"p50":670.8,"p80":4258.63},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":29,"p20":1503.75,"p50":3721.44,"p80":4039.71},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":19,"p20":750.42,"p50":3845.1,"p80":5935.8},{"state":"WI","n":38,"p20":884.45,"p50":2198.95,"p80":2888.1},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":388,"p20":777.0,"p50":1914.25,"p80":5084.89},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":154,"p20":627.99,"p50":1070.0,"p80":2784.21}],"ownership":[{"key":"for_profit","n":38,"p20":471.45,"p50":1079.0,"p80":4039.71},{"key":"government","n":79,"p20":662.15,"p50":1043.7,"p80":2915.2},{"key":"nonprofit","n":431,"p20":756.7,"p50":1806.09,"p80":4583.0}],"affiliation":[{"key":"affiliated","n":444,"p20":772.85,"p50":2099.68,"p80":4984.1},{"key":"independent","n":108,"p20":551.72,"p50":981.0,"p80":2085.58}]},"histogram":[{"lo":429.42,"hi":573.88,"n":52},{"lo":573.88,"hi":766.95,"n":50},{"lo":766.95,"hi":1024.96,"n":75},{"lo":1024.96,"hi":1369.77,"n":50},{"lo":1369.77,"hi":1830.59,"n":37},{"lo":1830.59,"hi":2446.43,"n":59},{"lo":2446.43,"hi":3269.44,"n":33},{"lo":3269.44,"hi":4369.34,"n":58},{"lo":4369.34,"hi":5839.25,"n":37},{"lo":5839.25,"hi":7803.67,"n":47}],"previous":null}},"related":[{"code_type":"CPT","code":"46050","lay_name":"Drainage of a surface abscess near the anus","slug":"cpt-46050-drainage-of-a-surface-abscess-near-the-anus"},{"code_type":"CPT","code":"46040","lay_name":"Drainage of an abscess near the anus or rectum","slug":"cpt-46040-drainage-of-an-abscess-near-the-anus-or-rectum"},{"code_type":"CPT","code":"45005","lay_name":"Drainage of an abscess under the lining of the rectum","slug":"cpt-45005-drainage-of-an-abscess-under-the-lining-of-the-rectum"},{"code_type":"CPT","code":"46020","lay_name":"Placement of a drainage seton for an anal fistula","slug":"cpt-46020-placement-of-a-drainage-seton-for-an-anal-fistula"},{"code_type":"CPT","code":"44180","lay_name":"Keyhole surgery to free intestinal adhesions","slug":"cpt-44180-keyhole-surgery-to-free-intestinal-adhesions"},{"code_type":"CPT","code":"46275","lay_name":"Repair of an anal fistula between the sphincter muscles","slug":"cpt-46275-repair-of-an-anal-fistula-between-the-sphincter-muscles"},{"code_type":"CPT","code":"44372","lay_name":"Small bowel endoscopy with feeding tube into the jejunum","slug":"cpt-44372-small-bowel-endoscopy-with-feeding-tube-into-the-jejunum"},{"code_type":"CPT","code":"46080","lay_name":"Cutting the anal sphincter muscle","slug":"cpt-46080-cutting-the-anal-sphincter-muscle"},{"code_type":"CPT","code":"46280","lay_name":"Surgery to repair a complex anal fistula","slug":"cpt-46280-surgery-to-repair-a-complex-anal-fistula"},{"code_type":"CPT","code":"46200","lay_name":"Surgical removal of an anal fissure","slug":"cpt-46200-surgical-removal-of-an-anal-fissure"},{"code_type":"CPT","code":"46030","lay_name":"Removal of an anal seton or marker","slug":"cpt-46030-removal-of-an-anal-seton-or-marker"},{"code_type":"CPT","code":"46045","lay_name":"Drainage of a rectal wall abscess through the anus","slug":"cpt-46045-drainage-of-a-rectal-wall-abscess-through-the-anus"}]}