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Procedure price report · Hemorrhoid procedures

Removal of multiple anal skin tags

CPT 46230the billing code this page is about

Excision of several skin tags or tissue flaps at the outer edge of the anus during one session.

Hospitals typically charge $2,084 cash for this outpatient procedure — the median across 1,107 hospitals that filed a usable cash price; the average of the middle 60% is $2,163. Most fall between $441 and $4,595 (20th–80th percentile).

Hospitals
1,107
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 1,107 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
$325$556$2,084$3,943$5,866

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($325 vs $5,866).

How the prices are spread

$257 – $361: 83 hospitals$257$361 – $507: 113 hospitals$507 – $713: 94 hospitals$507$713 – $1,001: 78 hospitals$1,001 – $1,407: 48 hospitals$1,001$1,407 – $1,977: 69 hospitals$1,977 – $2,778: 97 hospitals$1,977$2,778 – $3,903: 189 hospitals$3,903 – $5,483: 125 hospitals$3,903$5,483 – $7,704: 103 hospitals$5,483median $2,084price bands are equal on a log scale
Hospitals per price band (999 of 1,107 — the bands cover the 5th to 95th percentile)
FromToHospitals
$257$36183
$361$507113
$507$71394
$713$1,00178
$1,001$1,40748
$1,407$1,97769
$1,977$2,77897
$2,778$3,903189
$3,903$5,483125
$5,483$7,704103

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,084
Cash as a multiple of Medicare0.73×

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 $2,084.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $452 across 11 hospitalsME$452Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $243 across 10 hospitalsNH$243Washington: median $1,100 across 36 hospitalsWA$1,100Idaho: median $3,047 across 15 hospitalsID$3,047Montana: median $443 across 12 hospitalsMT$443North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,062 across 51 hospitalsMN$1,062Illinois: median $887 across 49 hospitalsIL$887Wisconsin: median $1,612 across 40 hospitalsWI$1,612Michigan: median $1,700 across 48 hospitalsMI$1,700New York: median $3,245 across 62 hospitalsNY$3,245Massachusetts: median $3,709 across 23 hospitalsMA$3,709Oregon: median $884 across 29 hospitalsOR$884Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 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 $705 across 44 hospitalsIA$705Indiana: median $513 across 20 hospitalsIN$513Ohio: median $1,355 across 32 hospitalsOH$1,355Pennsylvania: median $3,329 across 43 hospitalsPA$3,329New Jersey: median $3,885 across 35 hospitalsNJ$3,885Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,202 across 66 hospitalsCA$5,202Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,239 across 25 hospitalsCO$1,239Nebraska: median $638 across 29 hospitalsNE$638Missouri: median $2,642 across 24 hospitalsMO$2,642Kentucky: median $313 across 16 hospitalsKY$313West Virginia: median $850 across 21 hospitalsWV$850Virginia: median $4,018 across 27 hospitalsVA$4,018Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $892 across 11 hospitalsAZ$892New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $462 across 29 hospitalsKS$462Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,792 across 17 hospitalsTN$1,792North Carolina: median $2,633 across 14 hospitalsNC$2,633South Carolina: median $4,333 across 19 hospitalsSC$4,333Oklahoma: median $369 across 18 hospitalsOK$369Louisiana: median $1,970 across 18 hospitalsLA$1,970Mississippi: median $373 across 11 hospitalsMS$373Alabama: median $2,522 across 16 hospitalsAL$2,522Georgia: median $2,993 across 29 hospitalsGA$2,993Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,774 across 53 hospitalsTX$2,774Florida: median $4,422 across 25 hospitalsFL$4,422
Cash price by state, most expensive first. National median $2,084. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA66$5,202+150%$1,282 – $5,802
Florida FL25$4,422+112%$2,509 – $4,850
South Carolina SC19$4,333+108%$4,333 – $8,870
Virginia VA27$4,018+93%$2,574 – $5,866
New Jersey NJ35$3,885+86%$3,035 – $5,339
Massachusetts MA23$3,709+78%$735 – $4,162
Pennsylvania PA43$3,329+60%$2,730 – $4,637
New York NY62$3,245+56%$515 – $4,595
Idaho ID15$3,047+46%$902 – $7,189
Georgia GA29$2,993+44%$2,308 – $4,862
Texas TX53$2,774+33%$2,431 – $5,165
Missouri MO24$2,642+27%$358 – $6,129
North Carolina NC14$2,633+26%$1,392 – $5,101
Alabama AL16$2,522+21%$792 – $5,633
Louisiana LA18$1,970−5%$1,180 – $4,599
Tennessee TN17$1,792−14%$246 – $3,470
Michigan MI48$1,700−18%$362 – $4,149
Wisconsin WI40$1,612−23%$1,113 – $1,700
Ohio OH32$1,355−35%$279 – $5,837
Colorado CO25$1,239−41%$441 – $3,202
Washington WA36$1,100−47%$482 – $5,936
Minnesota MN51$1,062−49%$500 – $2,627
Arizona AZ11$892−57%$261 – $7,203
Illinois IL49$887−57%$439 – $3,198
Oregon OR29$884−58%$569 – $6,352
West Virginia WV21$850−59%$189 – $3,663
Iowa IA44$705−66%$445 – $818
Nebraska NE29$638−69%$431 – $1,591
Indiana IN20$513−75%$313 – $2,922
Kansas KS29$462−78%$306 – $2,939
Maine ME11$452−78%$349 – $1,359
Montana MT12$443−79%$213 – $925
Mississippi MS11$373−82%$340 – $1,707
Oklahoma OK18$369−82%$369 – $5,591
Kentucky KY16$313−85%$264 – $1,001
New Hampshire NH10$243−88%$165 – $407
Alaska AK9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE1not 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 $2,084.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care764$3,019$654 – $5,110
Children’s11fewer than 20 hospitals
Critical access329$650$363 – $2,072
Ownership
For-profit103$3,403$918 – $7,189
Government228$883$411 – $3,263
Non-profit773$2,308$441 – $4,595
System affiliation
Part of a system855$2,627$520 – $4,796
Independent252$822$349 – $3,047

Cash price vs list price

Median list price (chargemaster)$2,773
Median cash price$2,084
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

632 hospitals filed a usable inpatient cash price for this code. The median is $2,066 and the average of the middle 60% is $2,132; most fall between $423 and $4,333.

Cash price percentiles, inpatient, across 632 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
$313$543$2,066$3,706$5,802

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($313 vs $5,802).

Of the 702 hospitals that filed this code inpatient, 632 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 31 a list price only.

How complete is this

1,107 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,217 hospitals that filed this code at all gave us
Usable cash price — counted1,107
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
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 — excluded33
Hospitals that filed this code1,217

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 Excision Multiple External Papillae/Tags Anus.

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, “Removal of multiple anal skin tags (CPT 46230) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46230-removal-of-multiple-anal-skin-tags