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Procedure price report · Other OR lower GI therapeutic procedures

Repair of a shallow anal fistula

CPT 46270the billing code this page is about

Surgery to open or remove an abnormal tunnel just under the skin near the anus.

Hospitals typically charge $2,199 cash for this outpatient procedure — the median across 1,072 hospitals that filed a usable cash price; the average of the middle 60% is $2,482. Most fall between $791 and $5,317 (20th–80th percentile).

Hospitals
1,072
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 1,072 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
$573$884$2,199$4,595$7,862

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($573 vs $7,862).

How the prices are spread

$440 – $602: 67 hospitals$440$602 – $823: 108 hospitals$823 – $1,125: 122 hospitals$823$1,125 – $1,538: 86 hospitals$1,538 – $2,104: 82 hospitals$1,538$2,104 – $2,877: 86 hospitals$2,877 – $3,934: 135 hospitals$2,877$3,934 – $5,379: 121 hospitals$5,379 – $7,355: 90 hospitals$5,379$7,355 – $10,058: 70 hospitals$7,355median $2,199price bands are equal on a log scale
Hospitals per price band (967 of 1,072 — the bands cover the 5th to 95th percentile)
FromToHospitals
$440$60267
$602$823108
$823$1,125122
$1,125$1,53886
$1,538$2,10482
$2,104$2,87786
$2,877$3,934135
$3,934$5,379121
$5,379$7,35590
$7,355$10,05870

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,199
Cash as a multiple of Medicare0.78×

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 $2,199.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $683 across 12 hospitalsME$683Vermont: median $903 across 10 hospitalsVT$903New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,622 across 37 hospitalsWA$1,622Idaho: median $3,047 across 16 hospitalsID$3,047Montana: median $798 across 16 hospitalsMT$798North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,840 across 45 hospitalsMN$1,840Illinois: median $1,406 across 39 hospitalsIL$1,406Wisconsin: median $2,199 across 56 hospitalsWI$2,199Michigan: median $765 across 43 hospitalsMI$765New York: median $3,245 across 66 hospitalsNY$3,245Massachusetts: median $4,709 across 19 hospitalsMA$4,709Oregon: median $1,505 across 31 hospitalsOR$1,505Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,284 across 43 hospitalsIA$1,284Indiana: median $655 across 22 hospitalsIN$655Ohio: median $3,250 across 63 hospitalsOH$3,250Pennsylvania: median $1,015 across 32 hospitalsPA$1,015New Jersey: median $3,579 across 34 hospitalsNJ$3,579Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,264 across 77 hospitalsCA$4,264Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,248 across 15 hospitalsCO$1,248Nebraska: median $1,180 across 15 hospitalsNE$1,180Missouri: median $1,444 across 29 hospitalsMO$1,444Kentucky: median $569 across 14 hospitalsKY$569West Virginia: median $1,840 across 18 hospitalsWV$1,840Virginia: median $7,204 across 12 hospitalsVA$7,204Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $868 across 31 hospitalsKS$868Arkansas: median $1,559 across 18 hospitalsAR$1,559Tennessee: median $3,470 across 14 hospitalsTN$3,470North 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 $863 across 15 hospitalsOK$863Louisiana: median $2,601 across 20 hospitalsLA$2,601Mississippi: median $1,403 across 17 hospitalsMS$1,403Alabama: median $2,449 across 14 hospitalsAL$2,449Georgia: median $6,653 across 15 hospitalsGA$6,653Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,721 across 43 hospitalsTX$3,721Florida: median $5,744 across 25 hospitalsFL$5,744
Cash price by state, most expensive first. National median $2,199. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA12$7,204+228%$1,806 – $11,222
Georgia GA15$6,653+203%$2,310 – $6,653
Florida FL25$5,744+161%$1,782 – $7,033
Massachusetts MA19$4,709+114%$1,854 – $5,282
California CA77$4,264+94%$1,282 – $10,058
Texas TX43$3,721+69%$2,774 – $5,090
New Jersey NJ34$3,579+63%$2,997 – $5,741
Tennessee TN14$3,470+58%$451 – $4,944
Ohio OH63$3,250+48%$1,014 – $8,535
New York NY66$3,245+48%$824 – $4,595
Idaho ID16$3,047+39%$1,260 – $7,189
Louisiana LA20$2,601+18%$919 – $4,079
Alabama AL14$2,449+11%$711 – $8,444
Wisconsin WI56$2,1990%$884 – $2,944
Minnesota MN45$1,840−16%$822 – $2,376
West Virginia WV18$1,840−16%$452 – $6,023
Washington WA37$1,622−26%$834 – $4,884
Arkansas AR18$1,559−29%$814 – $4,345
Oregon OR31$1,505−32%$984 – $6,830
Missouri MO29$1,444−34%$643 – $5,301
Illinois IL39$1,406−36%$725 – $7,119
Mississippi MS17$1,403−36%$589 – $3,613
Iowa IA43$1,284−42%$801 – $1,563
Colorado CO15$1,248−43%$757 – $2,324
Nebraska NE15$1,180−46%$779 – $1,280
Pennsylvania PA32$1,015−54%$272 – $5,317
Vermont VT10$903−59%$553 – $1,298
Kansas KS31$868−61%$573 – $2,336
Oklahoma OK15$863−61%$863 – $5,052
Montana MT16$798−64%$594 – $1,621
Michigan MI43$765−65%$710 – $8,199
Maine ME12$683−69%$338 – $1,407
Indiana IN22$655−70%$471 – $2,922
Kentucky KY14$569−74%$490 – $1,258
Alaska AK9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not 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 $2,199.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care725$3,245$884 – $6,653
Children’s12fewer than 20 hospitals
Critical access331$1,142$683 – $2,839
Ownership
For-profit96$4,079$1,403 – $7,931
Government207$1,351$723 – $3,406
Non-profit765$2,205$809 – $5,339
System affiliation
Part of a system814$2,774$863 – $6,023
Independent258$1,260$679 – $3,601

Cash price vs list price

Median list price (chargemaster)$2,755
Median cash price$2,199
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

552 hospitals filed a usable inpatient cash price for this code. The median is $1,625 and the average of the middle 60% is $1,973; most fall between $694 and $4,475.

Cash price percentiles, inpatient, across 552 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
$481$798$1,625$3,975$6,653

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($481 vs $6,653).

Of the 611 hospitals that filed this code inpatient, 552 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 a list price only.

How complete is this

1,072 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,171 hospitals that filed this code at all gave us
Usable cash price — counted1,072
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded33
Hospitals that filed this code1,171

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 PR Removal Anal Fistula,Subcutaneous.

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, “Repair of a shallow anal fistula (CPT 46270) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46270-repair-of-a-shallow-anal-fistula