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Procedure price report · Hemorrhoid procedures

Rubber band treatment of internal hemorrhoids

CPT 46221the billing code this page is about

Placing one or more elastic bands around internal hemorrhoids to cut off their blood supply; the code covers the session regardless of how many bands are placed.

Hospitals typically charge $888 cash for this outpatient procedure — the median across 1,656 hospitals that filed a usable cash price; the average of the middle 60% is $955. Most fall between $412 and $1,872 (20th–80th percentile).

Hospitals
1,656
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 1,656 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
$262$480$888$1,615$2,726

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($262 vs $2,726).

How the prices are spread

$200 – $267: 87 hospitals$200$267 – $358: 103 hospitals$358 – $478: 138 hospitals$358$478 – $640: 198 hospitals$640 – $856: 188 hospitals$640$856 – $1,144: 238 hospitals$1,144 – $1,530: 176 hospitals$1,144$1,530 – $2,047: 153 hospitals$2,047 – $2,737: 133 hospitals$2,047$2,737 – $3,661: 79 hospitals$2,737median $888price bands are equal on a log scale
Hospitals per price band (1,493 of 1,656 — the bands cover the 5th to 95th percentile)
FromToHospitals
$200$26787
$267$358103
$358$478138
$478$640198
$640$856188
$856$1,144238
$1,144$1,530176
$1,530$2,047153
$2,047$2,737133
$2,737$3,66179

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$888
Cash as a multiple of Medicare0.93×

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 $888.

Alaska: median $1,337 across 10 hospitalsAK$1,337Maine: median $533 across 19 hospitalsME$533Vermont: median $436 across 11 hospitalsVT$436New Hampshire: median $432 across 13 hospitalsNH$432Washington: median $979 across 47 hospitalsWA$979Idaho: median $689 across 19 hospitalsID$689Montana: median $456 across 20 hospitalsMT$456North Dakota: median $938 across 14 hospitalsND$938Minnesota: median $812 across 65 hospitalsMN$812Illinois: median $770 across 66 hospitalsIL$770Wisconsin: median $787 across 67 hospitalsWI$787Michigan: median $949 across 52 hospitalsMI$949New York: median $954 across 61 hospitalsNY$954Massachusetts: median $1,066 across 30 hospitalsMA$1,066Oregon: median $561 across 44 hospitalsOR$561Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $800 across 13 hospitalsSD$800Iowa: median $654 across 58 hospitalsIA$654Indiana: median $420 across 40 hospitalsIN$420Ohio: median $1,495 across 70 hospitalsOH$1,495Pennsylvania: median $914 across 64 hospitalsPA$914New Jersey: median $2,472 across 38 hospitalsNJ$2,472Connecticut: median $1,276 across 15 hospitalsCT$1,276Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,800 across 97 hospitalsCA$1,800Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,099 across 37 hospitalsCO$1,099Nebraska: median $585 across 50 hospitalsNE$585Missouri: median $1,046 across 44 hospitalsMO$1,046Kentucky: median $846 across 25 hospitalsKY$846West Virginia: median $915 across 31 hospitalsWV$915Virginia: median $1,308 across 35 hospitalsVA$1,308Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $1,141 across 10 hospitalsAZ$1,141New Mexico: median $734 across 12 hospitalsNM$734Kansas: median $574 across 41 hospitalsKS$574Arkansas: median $602 across 13 hospitalsAR$602Tennessee: median $609 across 18 hospitalsTN$609North Carolina: median $633 across 36 hospitalsNC$633South Carolina: median $824 across 34 hospitalsSC$824Oklahoma: median $460 across 27 hospitalsOK$460Louisiana: median $417 across 28 hospitalsLA$417Mississippi: median $394 across 16 hospitalsMS$394Alabama: median $1,182 across 19 hospitalsAL$1,182Georgia: median $1,377 across 49 hospitalsGA$1,377Hawaii: median $841 across 10 hospitalsHI$841Texas: median $891 across 111 hospitalsTX$891Florida: median $1,615 across 47 hospitalsFL$1,615
Cash price by state, most expensive first. National median $888. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ38$2,472+179%$1,010 – $5,110
California CA97$1,800+103%$864 – $2,537
Florida FL47$1,615+82%$881 – $3,400
Ohio OH70$1,495+68%$655 – $2,726
Georgia GA49$1,377+55%$531 – $2,497
Alaska AK10$1,337+51%$398 – $1,621
Virginia VA35$1,308+47%$490 – $1,806
Connecticut CT15$1,276+44%$1,000 – $3,225
Alabama AL19$1,182+33%$374 – $2,768
Arizona AZ10$1,141+29%$299 – $3,492
Colorado CO37$1,099+24%$522 – $2,422
Massachusetts MA30$1,066+20%$450 – $2,167
Missouri MO44$1,046+18%$365 – $2,898
Washington WA47$979+10%$548 – $1,303
New York NY61$954+7%$366 – $2,070
Michigan MI52$949+7%$196 – $1,957
North Dakota ND14$938+6%$513 – $1,683
West Virginia WV31$915+3%$341 – $1,833
Pennsylvania PA64$914+3%$281 – $2,818
Texas TX111$8910%$545 – $1,178
Kentucky KY25$846−5%$285 – $1,394
Hawaii HI10$841−5%$371 – $1,552
South Carolina SC34$824−7%$824 – $1,660
Minnesota MN65$812−9%$416 – $1,260
South Dakota SD13$800−10%$545 – $1,080
Wisconsin WI67$787−11%$468 – $1,559
Illinois IL66$770−13%$407 – $1,899
New Mexico NM12$734−17%$580 – $2,917
Idaho ID19$689−22%$492 – $2,509
Iowa IA58$654−26%$368 – $841
North Carolina NC36$633−29%$496 – $1,263
Tennessee TN18$609−31%$239 – $1,333
Arkansas AR13$602−32%$441 – $1,477
Nebraska NE50$585−34%$491 – $924
Kansas KS41$574−35%$323 – $1,648
Oregon OR44$561−37%$371 – $835
Maine ME19$533−40%$321 – $1,269
Oklahoma OK27$460−48%$340 – $1,004
Montana MT20$456−49%$305 – $898
Vermont VT11$436−51%$356 – $1,452
New Hampshire NH13$432−51%$149 – $743
Indiana IN40$420−53%$160 – $2,199
Louisiana LA28$417−53%$261 – $877
Mississippi MS16$394−56%$217 – $720
Wyoming WY9not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $888.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,148$1,040$493 – $2,276
Children’s10fewer than 20 hospitals
Critical access493$577$321 – $1,244
Ownership
For-profit142$1,152$468 – $2,822
Government344$645$391 – $1,394
Non-profit1,165$901$419 – $1,920
System affiliation
Part of a system1,315$966$453 – $2,001
Independent341$642$328 – $1,238

Cash price vs list price

Median list price (chargemaster)$1,401
Median cash price$888
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

1,075 hospitals filed a usable inpatient cash price for this code. The median is $891 and the average of the middle 60% is $986; most fall between $456 and $1,902.

Cash price percentiles, inpatient, across 1,075 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
$294$511$891$1,682$2,541

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($294 vs $2,541).

Of the 1,165 hospitals that filed this code inpatient, 1,075 gave a usable cash price; 38 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,656 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,786 hospitals that filed this code at all gave us
Usable cash price — counted1,656
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 — excluded3
A list price only, no cash figure — excluded54
Hospitals that filed this code1,786

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 Hemorrhoidectomy Internal Rubber Band Ligations.

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, “Rubber band treatment of internal hemorrhoids (CPT 46221) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46221-rubber-band-treatment-of-internal-hemorrhoids