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Procedure price report · Hemorrhoid procedures

Removal of internal and external hemorrhoids, one area

CPT 46255the billing code this page is about

Cutting out both inside and outside hemorrhoids in a single column or group of tissue.

Hospitals typically charge $2,753 cash for this outpatient procedure — the median across 1,189 hospitals that filed a usable cash price; the average of the middle 60% is $2,808. Most fall between $882 and $6,165 (20th–80th percentile).

Hospitals
1,189
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 1,189 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
$641$1,028$2,753$5,183$9,047

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($641 vs $9,047).

How the prices are spread

$476 – $654: 69 hospitals$476$654 – $898: 124 hospitals$898 – $1,234: 115 hospitals$898$1,234 – $1,694: 101 hospitals$1,694 – $2,327: 90 hospitals$1,694$2,327 – $3,197: 98 hospitals$3,197 – $4,391: 159 hospitals$3,197$4,391 – $6,032: 132 hospitals$6,032 – $8,285: 105 hospitals$6,032$8,285 – $11,380: 78 hospitals$8,285median $2,753price bands are equal on a log scale
Hospitals per price band (1,071 of 1,189 — the bands cover the 5th to 95th percentile)
FromToHospitals
$476$65469
$654$898124
$898$1,234115
$1,234$1,694101
$1,694$2,32790
$2,327$3,19798
$3,197$4,391159
$4,391$6,032132
$6,032$8,285105
$8,285$11,38078

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,753
Cash as a multiple of Medicare0.97×

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 $2,753.

Alaska: median $3,520 across 10 hospitalsAK$3,520Maine: median $754 across 11 hospitalsME$754Vermont: median $938 across 11 hospitalsVT$938New Hampshire: median $597 across 11 hospitalsNH$597Washington: median $2,951 across 46 hospitalsWA$2,951Idaho: median $3,047 across 17 hospitalsID$3,047Montana: median $825 across 16 hospitalsMT$825North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,186 across 45 hospitalsMN$2,186Illinois: median $1,729 across 47 hospitalsIL$1,729Wisconsin: median $2,226 across 54 hospitalsWI$2,226Michigan: median $1,148 across 43 hospitalsMI$1,148New York: median $3,245 across 68 hospitalsNY$3,245Massachusetts: median $4,814 across 20 hospitalsMA$4,814Oregon: median $1,466 across 33 hospitalsOR$1,466Nevada: median $3,019 across 10 hospitalsNV$3,019Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,203 across 51 hospitalsIA$1,203Indiana: median $1,576 across 28 hospitalsIN$1,576Ohio: median $7,173 across 39 hospitalsOH$7,173Pennsylvania: median $2,463 across 33 hospitalsPA$2,463New Jersey: median $3,659 across 32 hospitalsNJ$3,659Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,555 across 78 hospitalsCA$4,555Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,235 across 17 hospitalsCO$1,235Nebraska: median $1,235 across 24 hospitalsNE$1,235Missouri: median $3,285 across 33 hospitalsMO$3,285Kentucky: median $830 across 16 hospitalsKY$830West Virginia: median $3,583 across 23 hospitalsWV$3,583Virginia: median $3,402 across 30 hospitalsVA$3,402Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,406 across 11 hospitalsAZ$3,406New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $954 across 35 hospitalsKS$954Arkansas: median $3,597 across 13 hospitalsAR$3,597Tennessee: median $3,470 across 15 hospitalsTN$3,470North Carolina: median $3,176 across 14 hospitalsNC$3,176South Carolina: median $7,450 across 22 hospitalsSC$7,450Oklahoma: median $728 across 20 hospitalsOK$728Louisiana: median $2,601 across 22 hospitalsLA$2,601Mississippi: median $3,949 across 16 hospitalsMS$3,949Alabama: median $2,769 across 15 hospitalsAL$2,769Georgia: median $2,772 across 31 hospitalsGA$2,772Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,750 across 60 hospitalsTX$3,750Florida: median $3,593 across 22 hospitalsFL$3,593
Cash price by state, most expensive first. National median $2,753. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC22$7,450+171%$4,935 – $7,450
Ohio OH39$7,173+161%$710 – $14,131
Massachusetts MA20$4,814+75%$2,441 – $8,515
California CA78$4,555+65%$1,494 – $10,058
Mississippi MS16$3,949+43%$1,085 – $6,844
Texas TX60$3,750+36%$3,417 – $5,872
New Jersey NJ32$3,659+33%$3,035 – $5,741
Arkansas AR13$3,597+31%$1,170 – $5,923
Florida FL22$3,593+31%$1,290 – $6,605
West Virginia WV23$3,583+30%$393 – $6,365
Alaska AK10$3,520+28%$2,237 – $5,011
Tennessee TN15$3,470+26%$453 – $4,660
Arizona AZ11$3,406+24%$551 – $16,572
Virginia VA30$3,402+24%$2,212 – $9,933
Missouri MO33$3,285+19%$725 – $8,801
New York NY68$3,245+18%$874 – $4,860
North Carolina NC14$3,176+15%$1,364 – $8,380
Idaho ID17$3,047+11%$1,042 – $7,189
Nevada NV10$3,019+10%$1,186 – $4,593
Washington WA46$2,951+7%$954 – $4,497
Georgia GA31$2,772+1%$2,770 – $6,653
Alabama AL15$2,769+1%$1,433 – $7,984
Louisiana LA22$2,601−6%$897 – $3,998
Pennsylvania PA33$2,463−11%$240 – $5,610
Wisconsin WI54$2,226−19%$882 – $3,399
Minnesota MN45$2,186−21%$855 – $3,204
Illinois IL47$1,729−37%$784 – $4,624
Indiana IN28$1,576−43%$614 – $7,905
Oregon OR33$1,466−47%$952 – $6,830
Colorado CO17$1,235−55%$748 – $2,942
Nebraska NE24$1,235−55%$801 – $2,519
Iowa IA51$1,203−56%$890 – $1,456
Michigan MI43$1,148−58%$844 – $3,817
Kansas KS35$954−65%$616 – $2,614
Vermont VT11$938−66%$716 – $3,044
Kentucky KY16$830−70%$562 – $3,110
Montana MT16$825−70%$529 – $1,509
Maine ME11$754−73%$359 – $1,443
Oklahoma OK20$728−74%$728 – $7,207
New Hampshire NH11$597−78%$313 – $2,742
New Mexico NM9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI1not 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 $2,753.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care804$3,458$1,064 – $7,450
Children’s9fewer than 20 hospitals
Critical access374$1,255$725 – $3,399
Ownership
For-profit110$4,599$1,620 – $8,852
Government247$1,595$853 – $3,901
Non-profit830$2,774$882 – $6,248
System affiliation
Part of a system907$3,204$944 – $6,709
Independent282$1,393$714 – $4,004

Cash price vs list price

Median list price (chargemaster)$3,705
Median cash price$2,753
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

619 hospitals filed a usable inpatient cash price for this code. The median is $2,186 and the average of the middle 60% is $2,246; most fall between $728 and $5,202.

Cash price percentiles, inpatient, across 619 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
$581$854$2,186$4,555$7,189

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($581 vs $7,189).

Of the 684 hospitals that filed this code inpatient, 619 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 40 a list price only.

How complete is this

1,189 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,298 hospitals that filed this code at all gave us
Usable cash price — counted1,189
Cash price carrying a plausibility flag — shown on the compare tool, excluded here61
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded40
Hospitals that filed this code1,298

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 Ntrnl & Xtrnl 1 Column/Group.

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 internal and external hemorrhoids, one area (CPT 46255) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46255-removal-of-internal-and-external-hemorrhoids-one-area