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Procedure price report · Hemorrhoid procedures

Removal of hemorrhoids, one area, plus fistula removal

CPT 46258the billing code this page is about

Cutting out internal and external hemorrhoids in one column or group along with removal of a fistula tract, including fissure removal if done.

Hospitals typically charge $2,232 cash for this outpatient procedure — the median across 372 hospitals that filed a usable cash price; the average of the middle 60% is $2,327. Most fall between $851 and $4,935 (20th–80th percentile).

Hospitals
372
States
47
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 372 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
$614$915$2,232$4,109$6,401

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($614 vs $6,401).

How the prices are spread

$424 – $563: 15 hospitals$424$563 – $747: 29 hospitals$747 – $992: 43 hospitals$747$992 – $1,316: 37 hospitals$1,316 – $1,746: 38 hospitals$1,316$1,746 – $2,318: 9 hospitals$2,318 – $3,076: 42 hospitals$2,318$3,076 – $4,082: 47 hospitals$4,082 – $5,417: 38 hospitals$4,082$5,417 – $7,189: 41 hospitals$5,417median $2,232price bands are equal on a log scale
Hospitals per price band (339 of 372 — the bands cover the 5th to 95th percentile)
FromToHospitals
$424$56315
$563$74729
$747$99243
$992$1,31637
$1,316$1,74638
$1,746$2,3189
$2,318$3,07642
$3,076$4,08247
$4,082$5,41738
$5,417$7,18941

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,232
Cash as a multiple of Medicare0.79×

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 $2,232.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $927 across 10 hospitalsWA$927Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $890 across 14 hospitalsIL$890Wisconsin: median $3,045 across 27 hospitalsWI$3,045Michigan: median $1,414 across 25 hospitalsMI$1,414New York: median $3,245 across 24 hospitalsNY$3,245Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,152 across 11 hospitalsOR$1,152Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,155 across 20 hospitalsIA$1,155Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,667 across 10 hospitalsOH$1,667Pennsylvania: median $320 across 17 hospitalsPA$320New Jersey: median $4,109 across 30 hospitalsNJ$4,109Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,401 across 35 hospitalsCA$6,401Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,006 across 13 hospitalsOK$1,006Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,995 across 21 hospitalsTX$4,995Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,232. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$6,401+187%$1,101 – $6,401
Texas TX21$4,995+124%$4,995 – $4,995
New Jersey NJ30$4,109+84%$3,035 – $5,339
New York NY24$3,245+45%$1,455 – $3,295
Wisconsin WI27$3,045+36%$2,511 – $3,767
Ohio OH10$1,667−25%$756 – $2,191
Michigan MI25$1,414−37%$974 – $2,511
Iowa IA20$1,155−48%$768 – $1,155
Oregon OR11$1,152−48%$896 – $1,331
Oklahoma OK13$1,006−55%$1,006 – $5,591
Washington WA10$927−58%$196 – $3,482
Illinois IL14$890−60%$702 – $3,996
Pennsylvania PA17$320−86%$261 – $4,637
Nebraska NE9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $2,232.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care287$2,713$896 – $4,995
Children’s2fewer than 20 hospitals
Critical access83$1,331$702 – $3,045
Ownership
For-profit33$2,922$702 – $4,995
Government57$1,435$873 – $3,406
Non-profit282$2,511$851 – $4,935
System affiliation
Part of a system305$2,511$880 – $4,995
Independent67$1,283$752 – $3,315

Cash price vs list price

Median list price (chargemaster)$2,005
Median cash price$2,232
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

203 hospitals filed a usable inpatient cash price for this code. The median is $1,283 and the average of the middle 60% is $1,991; most fall between $702 and $4,995.

Cash price percentiles, inpatient, across 203 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
$424$842$1,283$4,995$6,401

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($424 vs $6,401).

Of the 222 hospitals that filed this code inpatient, 203 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

372 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 407 hospitals that filed this code at all gave us
Usable cash price — counted372
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded5
Hospitals that filed this code407

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy.

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 hemorrhoids, one area, plus fistula removal (CPT 46258) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46258-removal-of-hemorrhoids-one-area-plus-fistula-removal