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Procedure price report · Hemorrhoid procedures

Lancing a clotted external hemorrhoid

CPT 46083the billing code this page is about

Cutting open a hemorrhoid outside the anus that contains a blood clot to release it.

Hospitals typically charge $394 cash for this outpatient procedure — the median across 2,413 hospitals that filed a usable cash price; the average of the middle 60% is $414. Most fall between $229 and $701 (20th–80th percentile).

Hospitals
2,413
States
50
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 2,413 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
$159$250$394$618$961

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($159 vs $961).

How the prices are spread

$120 – $152: 90 hospitals$120$152 – $192: 133 hospitals$192 – $242: 203 hospitals$192$242 – $306: 287 hospitals$306 – $386: 347 hospitals$306$386 – $488: 332 hospitals$488 – $616: 296 hospitals$488$616 – $779: 218 hospitals$779 – $984: 162 hospitals$779$984 – $1,243: 105 hospitals$984median $394price bands are equal on a log scale
Hospitals per price band (2,173 of 2,413 — the bands cover the 5th to 95th percentile)
FromToHospitals
$120$15290
$152$192133
$192$242203
$242$306287
$306$386347
$386$488332
$488$616296
$616$779218
$779$984162
$984$1,243105

Against Medicare

Medicare pays (OPPS 2026, national rate)$255
Median cash price$394
Cash as a multiple of Medicare1.54×

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 $394.

Alaska: median $651 across 14 hospitalsAK$651Maine: median $261 across 22 hospitalsME$261Vermont: median $353 across 12 hospitalsVT$353New Hampshire: median $284 across 18 hospitalsNH$284Washington: median $421 across 66 hospitalsWA$421Idaho: median $437 across 22 hospitalsID$437Montana: median $264 across 27 hospitalsMT$264North Dakota: median $473 across 22 hospitalsND$473Minnesota: median $339 across 83 hospitalsMN$339Illinois: median $433 across 103 hospitalsIL$433Wisconsin: median $350 across 92 hospitalsWI$350Michigan: median $344 across 72 hospitalsMI$344New York: median $297 across 95 hospitalsNY$297Massachusetts: median $462 across 41 hospitalsMA$462Oregon: median $390 across 48 hospitalsOR$390Nevada: median $408 across 17 hospitalsNV$408Wyoming: median $322 across 14 hospitalsWY$322South Dakota: median $590 across 18 hospitalsSD$590Iowa: median $333 across 79 hospitalsIA$333Indiana: median $426 across 51 hospitalsIN$426Ohio: median $498 across 97 hospitalsOH$498Pennsylvania: median $369 across 101 hospitalsPA$369New Jersey: median $809 across 47 hospitalsNJ$809Connecticut: median $494 across 18 hospitalsCT$494Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $605 across 128 hospitalsCA$605Utah: median $400 across 28 hospitalsUT$400Colorado: median $403 across 43 hospitalsCO$403Nebraska: median $338 across 64 hospitalsNE$338Missouri: median $310 across 53 hospitalsMO$310Kentucky: median $374 across 38 hospitalsKY$374West Virginia: median $329 across 34 hospitalsWV$329Virginia: median $467 across 59 hospitalsVA$467Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $914 across 24 hospitalsAZ$914New Mexico: median $274 across 22 hospitalsNM$274Kansas: median $235 across 65 hospitalsKS$235Arkansas: median $351 across 19 hospitalsAR$351Tennessee: median $290 across 45 hospitalsTN$290North Carolina: median $365 across 53 hospitalsNC$365South Carolina: median $420 across 42 hospitalsSC$420Oklahoma: median $271 across 58 hospitalsOK$271Louisiana: median $359 across 42 hospitalsLA$359Mississippi: median $232 across 47 hospitalsMS$232Alabama: median $330 across 26 hospitalsAL$330Georgia: median $618 across 62 hospitalsGA$618Hawaii: median $680 across 14 hospitalsHI$680Texas: median $450 across 156 hospitalsTX$450Florida: median $735 across 96 hospitalsFL$735
Cash price by state, most expensive first. National median $394. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ24$914+132%$337 – $5,869
New Jersey NJ47$809+105%$286 – $4,350
Florida FL96$735+87%$406 – $946
Hawaii HI14$680+73%$257 – $917
Alaska AK14$651+65%$392 – $894
Georgia GA62$618+57%$218 – $1,053
California CA128$605+54%$335 – $1,226
South Dakota SD18$590+50%$276 – $625
Ohio OH97$498+26%$279 – $727
Connecticut CT18$494+26%$260 – $943
North Dakota ND22$473+20%$218 – $566
Virginia VA59$467+19%$320 – $641
Massachusetts MA41$462+17%$260 – $637
Texas TX156$450+14%$235 – $678
Idaho ID22$437+11%$263 – $660
Illinois IL103$433+10%$270 – $691
Indiana IN51$426+8%$295 – $733
Washington WA66$421+7%$290 – $719
South Carolina SC42$420+7%$249 – $566
Nevada NV17$408+4%$271 – $990
Colorado CO43$403+2%$318 – $724
Utah UT28$400+2%$328 – $444
Oregon OR48$390−1%$259 – $587
Kentucky KY38$374−5%$227 – $646
Pennsylvania PA101$369−6%$188 – $568
North Carolina NC53$365−7%$196 – $475
Louisiana LA42$359−9%$153 – $523
Vermont VT12$353−10%$190 – $889
Arkansas AR19$351−11%$225 – $501
Wisconsin WI92$350−11%$195 – $543
Michigan MI72$344−13%$147 – $523
Minnesota MN83$339−14%$239 – $557
Nebraska NE64$338−14%$225 – $482
Iowa IA79$333−15%$197 – $502
Alabama AL26$330−16%$167 – $613
West Virginia WV34$329−16%$249 – $681
Wyoming WY14$322−18%$139 – $651
Missouri MO53$310−21%$207 – $737
New York NY95$297−25%$180 – $645
Tennessee TN45$290−26%$200 – $393
New Hampshire NH18$284−28%$159 – $504
New Mexico NM22$274−30%$210 – $595
Oklahoma OK58$271−31%$186 – $547
Montana MT27$264−33%$136 – $394
Maine ME22$261−34%$172 – $390
Kansas KS65$235−40%$149 – $342
Mississippi MS47$232−41%$133 – $328
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maryland MD3not 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 $394.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,643$421$244 – $783
Children’s21$487$327 – $950
Critical access744$339$196 – $551
Ownership
For-profit243$542$270 – $1,053
Government502$342$201 – $560
Non-profit1,663$397$233 – $692
System affiliation
Part of a system1,914$411$242 – $727
Independent499$336$184 – $600

Cash price vs list price

Median list price (chargemaster)$646
Median cash price$394
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

1,777 hospitals filed a usable inpatient cash price for this code. The median is $420 and the average of the middle 60% is $440; most fall between $240 and $727.

Cash price percentiles, inpatient, across 1,777 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
$175$269$420$641$977

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($175 vs $977).

Of the 1,906 hospitals that filed this code inpatient, 1,777 gave a usable cash price; 45 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 84 a list price only.

How complete is this

2,413 of the 3,956 hospitals with a price file in our corpus (61%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,586 hospitals that filed this code at all gave us
Usable cash price — counted2,413
Cash price carrying a plausibility flag — shown on the compare tool, excluded here73
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 — excluded94
Hospitals that filed this code2,586

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 Hemorrhoid procedures family.

Hospitals file this code under descriptions such as PR Incise External Hemorrhoid.

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, “Lancing a clotted external hemorrhoid (CPT 46083) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46083-lancing-a-clotted-external-hemorrhoid