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Procedure price report · Other OR lower GI therapeutic procedures

Surgical removal of an anal fissure

CPT 46200the billing code this page is about

Cutting out a tear in the lining of the anus, including cutting the sphincter muscle if that is done at the same time.

Hospitals typically charge $1,568 cash for this outpatient procedure — the median across 713 hospitals that filed a usable cash price; the average of the middle 60% is $2,138. Most fall between $709 and $5,110 (20th–80th percentile).

Hospitals
713
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 713 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$786$1,568$4,350$8,910

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($516 vs $8,910).

How the prices are spread

$414 – $577: 55 hospitals$414$577 – $803: 98 hospitals$803 – $1,119: 78 hospitals$803$1,119 – $1,559: 89 hospitals$1,559 – $2,171: 33 hospitals$1,559$2,171 – $3,024: 60 hospitals$3,024 – $4,212: 78 hospitals$3,024$4,212 – $5,866: 71 hospitals$5,866 – $8,170: 32 hospitals$5,866$8,170 – $11,380: 49 hospitals$8,170median $1,568price bands are equal on a log scale
Hospitals per price band (643 of 713 — the bands cover the 5th to 95th percentile)
FromToHospitals
$414$57755
$577$80398
$803$1,11978
$1,119$1,55989
$1,559$2,17133
$2,171$3,02460
$3,024$4,21278
$4,212$5,86671
$5,866$8,17032
$8,170$11,38049

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,568
Cash as a multiple of Medicare0.55×

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 $1,568.

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: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $978 across 18 hospitalsWA$978Idaho: median $3,605 across 11 hospitalsID$3,605Montana: 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 $1,024 across 18 hospitalsMN$1,024Illinois: median $956 across 27 hospitalsIL$956Wisconsin: median $1,973 across 37 hospitalsWI$1,973Michigan: median $1,256 across 36 hospitalsMI$1,256New York: median $3,245 across 49 hospitalsNY$3,245Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,318 across 18 hospitalsOR$1,318Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $931 across 36 hospitalsIA$931Indiana: median $470 across 13 hospitalsIN$470Ohio: median $874 across 19 hospitalsOH$874Pennsylvania: median $3,215 across 18 hospitalsPA$3,215New Jersey: median $3,660 across 32 hospitalsNJ$3,660Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,404 across 50 hospitalsCA$3,404Utah: 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 $1,115 across 16 hospitalsNE$1,115Missouri: median $786 across 21 hospitalsMO$786Kentucky: median $472 across 10 hospitalsKY$472West Virginia: median $2,697 across 19 hospitalsWV$2,697Virginia: median $6,597 across 12 hospitalsVA$6,597Maryland: 3 hospitals 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: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $855 across 17 hospitalsKS$855Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $719 across 11 hospitalsTN$719North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $764 across 13 hospitalsOK$764Louisiana: median $3,400 across 11 hospitalsLA$3,400Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $5,507 across 13 hospitalsGA$5,507Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $2,521 across 48 hospitalsTX$2,521Florida: median $4,229 across 14 hospitalsFL$4,229
Cash price by state, most expensive first. National median $1,568. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA12$6,597+321%$231 – $11,804
Georgia GA13$5,507+251%$2,770 – $7,343
Florida FL14$4,229+170%$933 – $7,730
New Jersey NJ32$3,660+133%$3,038 – $5,419
Idaho ID11$3,605+130%$1,940 – $7,189
California CA50$3,404+117%$1,352 – $8,910
Louisiana LA11$3,400+117%$684 – $4,270
New York NY49$3,245+107%$1,012 – $4,595
Pennsylvania PA18$3,215+105%$839 – $5,906
West Virginia WV19$2,697+72%$886 – $5,317
Texas TX48$2,521+61%$870 – $3,896
Wisconsin WI37$1,973+26%$1,620 – $2,399
Oregon OR18$1,318−16%$872 – $1,454
Michigan MI36$1,256−20%$793 – $3,817
Nebraska NE16$1,115−29%$692 – $1,355
Minnesota MN18$1,024−35%$688 – $4,492
Washington WA18$978−38%$744 – $3,482
Illinois IL27$956−39%$469 – $13,940
Iowa IA36$931−41%$689 – $1,133
Ohio OH19$874−44%$484 – $8,351
Kansas KS17$855−45%$655 – $4,371
Missouri MO21$786−50%$536 – $6,337
Oklahoma OK13$764−51%$764 – $5,591
Tennessee TN11$719−54%$386 – $5,004
Kentucky KY10$472−70%$430 – $619
Indiana IN13$470−70%$466 – $1,354
Arkansas AR9not enough hospitals filed a usable price
Colorado CO9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not 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 $1,568.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care502$2,753$764 – $6,155
Children’s5fewer than 20 hospitals
Critical access205$995$645 – $2,355
Ownership
For-profit73$4,004$781 – $8,823
Government134$978$654 – $3,245
Non-profit505$1,973$747 – $5,180
System affiliation
Part of a system552$2,201$770 – $5,610
Independent161$1,019$605 – $3,406

Cash price vs list price

Median list price (chargemaster)$1,750
Median cash price$1,568
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

333 hospitals filed a usable inpatient cash price for this code. The median is $1,079 and the average of the middle 60% is $1,312; most fall between $575 and $3,404.

Cash price percentiles, inpatient, across 333 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
$445$658$1,079$2,521$5,507

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($445 vs $5,507).

Of the 388 hospitals that filed this code inpatient, 333 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

713 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 800 hospitals that filed this code at all gave us
Usable cash price — counted713
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded25
Hospitals that filed this code800

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 Fissurectomy Incl Sphincterotomy When Performed.

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, “Surgical removal of an anal fissure (CPT 46200) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46200-surgical-removal-of-an-anal-fissure