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Procedure price report · Other OR lower GI therapeutic procedures

Drainage of a rectal wall abscess through the anus

CPT 46045the billing code this page is about

Cutting into and draining an abscess within the wall or lining of the rectum, working through the anal opening rather than an outside incision.

Hospitals typically charge $1,937 cash for this outpatient procedure — the median across 676 hospitals that filed a usable cash price; the average of the middle 60% is $2,068. Most fall between $707 and $4,836 (20th–80th percentile).

Hospitals
676
States
48
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 676 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
$516$819$1,937$4,004$7,338

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($516 vs $7,338).

How the prices are spread

$455 – $620: 69 hospitals$455$620 – $844: 70 hospitals$844 – $1,149: 82 hospitals$844$1,149 – $1,565: 64 hospitals$1,565 – $2,131: 42 hospitals$1,565$2,131 – $2,902: 75 hospitals$2,902 – $3,952: 70 hospitals$2,902$3,952 – $5,381: 56 hospitals$5,381 – $7,328: 47 hospitals$5,381$7,328 – $9,979: 48 hospitals$7,328median $1,937price bands are equal on a log scale
Hospitals per price band (623 of 676 — the bands cover the 5th to 95th percentile)
FromToHospitals
$455$62069
$620$84470
$844$1,14982
$1,149$1,56564
$1,565$2,13142
$2,131$2,90275
$2,902$3,95270
$3,952$5,38156
$5,381$7,32847
$7,328$9,97948

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,937
Cash as a multiple of Medicare0.68×

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 $1,937.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,310 across 28 hospitalsWA$3,310Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,383 across 15 hospitalsMN$1,383Illinois: median $1,078 across 23 hospitalsIL$1,078Wisconsin: median $2,222 across 32 hospitalsWI$2,222Michigan: median $606 across 33 hospitalsMI$606New York: median $3,245 across 46 hospitalsNY$3,245Massachusetts: median $5,559 across 15 hospitalsMA$5,559Oregon: median $1,224 across 25 hospitalsOR$1,224Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,078 across 28 hospitalsIA$1,078Indiana: median $667 across 13 hospitalsIN$667Ohio: median $1,569 across 15 hospitalsOH$1,569Pennsylvania: median $1,071 across 23 hospitalsPA$1,071New Jersey: median $3,591 across 26 hospitalsNJ$3,591Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,836 across 67 hospitalsCA$4,836Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $879 across 10 hospitalsNE$879Missouri: median $635 across 13 hospitalsMO$635Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $802 across 13 hospitalsWV$802Virginia: median $2,216 across 24 hospitalsVA$2,216Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $656 across 10 hospitalsKS$656Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,250 across 14 hospitalsNC$2,250South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $707 across 19 hospitalsOK$707Louisiana: median $2,258 across 12 hospitalsLA$2,258Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,147 across 45 hospitalsTX$2,147Florida: median $2,753 across 11 hospitalsFL$2,753
Cash price by state, most expensive first. National median $1,937. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA15$5,559+187%$1,966 – $8,307
California CA67$4,836+150%$2,029 – $9,979
New Jersey NJ26$3,591+85%$3,035 – $5,419
Washington WA28$3,310+71%$907 – $6,376
New York NY46$3,245+68%$1,093 – $6,603
Florida FL11$2,753+42%$1,526 – $8,513
Louisiana LA12$2,258+17%$565 – $3,120
North Carolina NC14$2,250+16%$819 – $3,292
Wisconsin WI32$2,222+15%$2,222 – $5,530
Virginia VA24$2,216+14%$2,072 – $4,711
Texas TX45$2,147+11%$857 – $2,774
Ohio OH15$1,569−19%$1,079 – $3,065
Minnesota MN15$1,383−29%$787 – $1,383
Oregon OR25$1,224−37%$814 – $10,368
Iowa IA28$1,078−44%$822 – $1,126
Illinois IL23$1,078−44%$482 – $1,729
Pennsylvania PA23$1,071−45%$102 – $4,259
Nebraska NE10$879−55%$649 – $1,221
West Virginia WV13$802−59%$464 – $3,191
Oklahoma OK19$707−63%$707 – $4,771
Indiana IN13$667−66%$482 – $2,390
Kansas KS10$656−66%$474 – $753
Missouri MO13$635−67%$592 – $1,047
Michigan MI33$606−69%$545 – $2,222
Colorado CO9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $1,937.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care502$2,222$751 – $5,339
Children’s8fewer than 20 hospitals
Critical access165$1,009$592 – $2,318
Ownership
For-profit50$2,222$656 – $4,935
Government123$1,000$715 – $3,191
Non-profit502$2,147$708 – $5,110
System affiliation
Part of a system542$2,147$751 – $5,158
Independent134$1,059$667 – $3,005

Cash price vs list price

Median list price (chargemaster)$2,611
Median cash price$1,937
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

418 hospitals filed a usable inpatient cash price for this code. The median is $2,029 and the average of the middle 60% is $2,136; most fall between $707 and $5,011.

Cash price percentiles, inpatient, across 418 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
$489$814$2,029$4,711$8,307

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($489 vs $8,307).

Of the 451 hospitals that filed this code inpatient, 418 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

676 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 738 hospitals that filed this code at all gave us
Usable cash price — counted676
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded12
Hospitals that filed this code738

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 OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as I&D Intramural Im/Absc Transanal Anes.

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, “Drainage of a rectal wall abscess through the anus (CPT 46045) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46045-drainage-of-a-rectal-wall-abscess-through-the-anus