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Procedure price report · Other non-OR lower GI therapeutic procedures

Stretching the anal muscle under anesthesia

CPT 45905the billing code this page is about

Widening of the tight ring of muscle at the anus while the patient is under anesthesia; billed when done as the only procedure.

Hospitals typically charge $1,389 cash for this outpatient procedure — the median across 602 hospitals that filed a usable cash price; the average of the middle 60% is $1,487. Most fall between $348 and $3,453 (20th–80th percentile).

Hospitals
602
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 602 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$270$401$1,389$2,958$5,515

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($270 vs $5,515).

How the prices are spread

$189 – $268: 27 hospitals$189$268 – $382: 86 hospitals$382 – $544: 58 hospitals$382$544 – $775: 21 hospitals$775 – $1,103: 57 hospitals$775$1,103 – $1,570: 51 hospitals$1,570 – $2,236: 64 hospitals$1,570$2,236 – $3,183: 65 hospitals$3,183 – $4,532: 60 hospitals$3,183$4,532 – $6,453: 54 hospitals$4,532median $1,389price bands are equal on a log scale
Hospitals per price band (543 of 602 — the bands cover the 5th to 95th percentile)
FromToHospitals
$189$26827
$268$38286
$382$54458
$544$77521
$775$1,10357
$1,103$1,57051
$1,570$2,23664
$2,236$3,18365
$3,183$4,53260
$4,532$6,45354

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,389
Cash as a multiple of Medicare1.14×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,389.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,995 across 19 hospitalsWA$1,995Idaho: median $3,234 across 10 hospitalsID$3,234Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,085 across 11 hospitalsMN$1,085Illinois: median $413 across 23 hospitalsIL$413Wisconsin: median $998 across 34 hospitalsWI$998Michigan: median $338 across 22 hospitalsMI$338New York: median $1,395 across 30 hospitalsNY$1,395Massachusetts: median $3,310 across 10 hospitalsMA$3,310Oregon: median $474 across 22 hospitalsOR$474Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $417 across 25 hospitalsIA$417Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $611 across 20 hospitalsOH$611Pennsylvania: median $812 across 26 hospitalsPA$812New Jersey: median $2,030 across 33 hospitalsNJ$2,030Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,365 across 51 hospitalsCA$4,365Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $381 across 10 hospitalsNE$381Missouri: median $2,869 across 19 hospitalsMO$2,869Kentucky: median $348 across 10 hospitalsKY$348West Virginia: median $189 across 12 hospitalsWV$189Virginia: median $1,463 across 10 hospitalsVA$1,463Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $321 across 15 hospitalsKS$321Arkansas: median $2,070 across 11 hospitalsAR$2,070Tennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $4,423 across 12 hospitalsSC$4,423Oklahoma: median $356 across 14 hospitalsOK$356Louisiana: median $1,895 across 11 hospitalsLA$1,895Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,166 across 23 hospitalsTX$2,166Florida: median $2,410 across 26 hospitalsFL$2,410
Cash price by state, most expensive first. National median $1,389. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC12$4,423+219%$1,609 – $7,319
California CA51$4,365+214%$2,288 – $5,527
Massachusetts MA10$3,310+138%$2,201 – $3,776
Idaho ID10$3,234+133%$2,827 – $3,234
Missouri MO19$2,869+107%$267 – $3,875
Florida FL26$2,410+74%$1,184 – $3,267
Texas TX23$2,166+56%$1,969 – $2,481
Arkansas AR11$2,070+49%$377 – $2,366
New Jersey NJ33$2,030+46%$1,306 – $5,419
Washington WA19$1,995+44%$400 – $6,349
Louisiana LA11$1,895+36%$710 – $2,252
Virginia VA10$1,463+5%$116 – $1,463
New York NY30$1,3950%$329 – $1,420
Minnesota MN11$1,085−22%$367 – $2,696
Wisconsin WI34$998−28%$998 – $1,095
Pennsylvania PA26$812−42%$110 – $2,412
Ohio OH20$611−56%$302 – $2,653
Oregon OR22$474−66%$315 – $2,958
Iowa IA25$417−70%$335 – $1,126
Illinois IL23$413−70%$348 – $5,082
Nebraska NE10$381−73%$270 – $822
Oklahoma OK14$356−74%$356 – $3,453
Kentucky KY10$348−75%$171 – $4,734
Michigan MI22$338−76%$270 – $1,645
Kansas KS15$321−77%$271 – $767
West Virginia WV12$189−86%$186 – $1,398
Alabama AL9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,389.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care458$1,645$356 – $4,202
Children’s18fewer than 20 hospitals
Critical access125$510$302 – $1,969
Ownership
For-profit50$1,969$348 – $4,244
Government105$947$309 – $2,921
Non-profit446$1,395$356 – $3,526
System affiliation
Part of a system473$1,496$381 – $3,786
Independent129$521$298 – $2,341

Cash price vs list price

Median list price (chargemaster)$1,955
Median cash price$1,389
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

349 hospitals filed a usable inpatient cash price for this code. The median is $1,038 and the average of the middle 60% is $1,382; most fall between $321 and $3,234.

Cash price percentiles, inpatient, across 349 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$270$348$1,038$2,744$5,527

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($270 vs $5,527).

Of the 380 hospitals that filed this code inpatient, 349 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

602 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 660 hospitals that filed this code at all gave us
Usable cash price — counted602
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded16
Hospitals that filed this code660

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Stretching the anal muscle under anesthesia (CPT 45905) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-45905-stretching-the-anal-muscle-under-anesthesia