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Procedure price report · Other OR lower GI therapeutic procedures

Cutting the anal sphincter muscle

CPT 46080the billing code this page is about

Surgical division of part of the muscle ring around the anus, billed when done as the sole procedure.

Hospitals typically charge $1,252 cash for this outpatient procedure — the median across 740 hospitals that filed a usable cash price; the average of the middle 60% is $1,764. Most fall between $365 and $4,460 (20th–80th percentile).

Hospitals
740
States
49
Filings dated
Aug 2022 – 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 740 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
$283$430$1,252$3,964$6,653

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($283 vs $6,653).

How the prices are spread

$189 – $280: 34 hospitals$189$280 – $413: 110 hospitals$413 – $611: 77 hospitals$413$611 – $904: 82 hospitals$904 – $1,337: 35 hospitals$904$1,337 – $1,978: 50 hospitals$1,978 – $2,925: 43 hospitals$1,978$2,925 – $4,325: 120 hospitals$4,325 – $6,397: 72 hospitals$4,325$6,397 – $9,460: 44 hospitals$6,397median $1,252price bands are equal on a log scale
Hospitals per price band (667 of 740 — the bands cover the 5th to 95th percentile)
FromToHospitals
$189$28034
$280$413110
$413$61177
$611$90482
$904$1,33735
$1,337$1,97850
$1,978$2,92543
$2,925$4,325120
$4,325$6,39772
$6,397$9,46044

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,252
Cash as a multiple of Medicare0.44×

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 $1,252.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $522 across 19 hospitalsWA$522Idaho: median $5,164 across 11 hospitalsID$5,164Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,262 across 30 hospitalsMN$1,262Illinois: median $857 across 31 hospitalsIL$857Wisconsin: median $1,791 across 32 hospitalsWI$1,791Michigan: median $353 across 35 hospitalsMI$353New York: median $2,155 across 37 hospitalsNY$2,155Massachusetts: median $2,781 across 10 hospitalsMA$2,781Oregon: median $522 across 22 hospitalsOR$522Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $659 across 36 hospitalsIA$659Indiana: median $373 across 14 hospitalsIN$373Ohio: median $655 across 23 hospitalsOH$655Pennsylvania: median $387 across 20 hospitalsPA$387New Jersey: median $3,659 across 31 hospitalsNJ$3,659Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,056 across 57 hospitalsCA$4,056Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $648 across 14 hospitalsNE$648Missouri: median $2,656 across 22 hospitalsMO$2,656Kentucky: median $327 across 10 hospitalsKY$327West Virginia: median $904 across 17 hospitalsWV$904Virginia: median $7,180 across 10 hospitalsVA$7,180Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $416 across 23 hospitalsKS$416Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $414 across 11 hospitalsTN$414North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $341 across 17 hospitalsOK$341Louisiana: median $1,500 across 17 hospitalsLA$1,500Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $2,969 across 10 hospitalsAL$2,969Georgia: median $6,653 across 13 hospitalsGA$6,653Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,062 across 34 hospitalsTX$3,062Florida: median $4,318 across 21 hospitalsFL$4,318
Cash price by state, most expensive first. National median $1,252. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA10$7,180+473%$107 – $10,637
Georgia GA13$6,653+431%$4,076 – $7,104
Idaho ID11$5,164+312%$2,472 – $7,189
Florida FL21$4,318+245%$655 – $11,474
California CA57$4,056+224%$834 – $4,844
New Jersey NJ31$3,659+192%$3,035 – $5,339
Texas TX34$3,062+145%$920 – $4,554
Alabama AL10$2,969+137%$722 – $5,266
Massachusetts MA10$2,781+122%$2,428 – $3,964
Missouri MO22$2,656+112%$351 – $5,266
New York NY37$2,155+72%$392 – $3,245
Wisconsin WI32$1,791+43%$1,005 – $1,791
Louisiana LA17$1,500+20%$404 – $4,581
Minnesota MN30$1,262+1%$361 – $1,771
West Virginia WV17$904−28%$172 – $4,390
Illinois IL31$857−32%$351 – $5,622
Iowa IA36$659−47%$456 – $1,115
Ohio OH23$655−48%$369 – $7,121
Nebraska NE14$648−48%$393 – $974
Oregon OR22$522−58%$502 – $812
Washington WA19$522−58%$400 – $4,178
Kansas KS23$416−67%$300 – $704
Tennessee TN11$414−67%$222 – $3,587
Pennsylvania PA20$387−69%$98 – $4,259
Indiana IN14$373−70%$327 – $2,321
Michigan MI35$353−72%$321 – $3,769
Oklahoma OK17$341−73%$341 – $4,952
Kentucky KY10$327−74%$254 – $1,390
Colorado CO9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not 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 $1,252.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care499$2,713$396 – $4,935
Children’s8fewer than 20 hospitals
Critical access231$643$340 – $1,791
Ownership
For-profit68$3,392$447 – $7,189
Government153$740$373 – $3,766
Non-profit517$1,354$357 – $4,446
System affiliation
Part of a system554$1,791$390 – $4,844
Independent186$603$322 – $3,001

Cash price vs list price

Median list price (chargemaster)$1,161
Median cash price$1,252
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

365 hospitals filed a usable inpatient cash price for this code. The median is $659 and the average of the middle 60% is $1,101; most fall between $320 and $3,977.

Cash price percentiles, inpatient, across 365 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
$225$340$659$3,062$4,844

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($225 vs $4,844).

Of the 405 hospitals that filed this code inpatient, 365 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

740 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 820 hospitals that filed this code at all gave us
Usable cash price — counted740
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded23
Hospitals that filed this code820

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 Sphincterotomy Anal Division Sphincter Spx.

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, “Cutting the anal sphincter muscle (CPT 46080) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46080-cutting-the-anal-sphincter-muscle