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Procedure price report · Other OR lower GI therapeutic procedures

Repair of an anal fistula between the sphincter muscles

CPT 46275the billing code this page is about

Surgery on an abnormal tunnel that runs between the inner and outer muscle rings of the anus.

Hospitals typically charge $2,461 cash for this outpatient procedure — the median across 773 hospitals that filed a usable cash price; the average of the middle 60% is $2,652. Most fall between $941 and $5,893 (20th–80th percentile).

Hospitals
773
States
49
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 773 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
$656$1,036$2,461$4,935$8,904

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($656 vs $8,904).

How the prices are spread

$476 – $652: 38 hospitals$476$652 – $894: 69 hospitals$894 – $1,224: 97 hospitals$894$1,224 – $1,677: 86 hospitals$1,677 – $2,297: 41 hospitals$1,677$2,297 – $3,147: 86 hospitals$3,147 – $4,312: 79 hospitals$3,147$4,312 – $5,907: 87 hospitals$5,907 – $8,091: 65 hospitals$5,907$8,091 – $11,085: 50 hospitals$8,091median $2,461price bands are equal on a log scale
Hospitals per price band (698 of 773 — the bands cover the 5th to 95th percentile)
FromToHospitals
$476$65238
$652$89469
$894$1,22497
$1,224$1,67786
$1,677$2,29741
$2,297$3,14786
$3,147$4,31279
$4,312$5,90787
$5,907$8,09165
$8,091$11,08550

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,461
Cash as a multiple of Medicare0.87×

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 $2,461.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,441 across 26 hospitalsWA$3,441Idaho: median $7,189 across 10 hospitalsID$7,189Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,987 across 31 hospitalsMN$1,987Illinois: median $1,359 across 32 hospitalsIL$1,359Wisconsin: median $2,461 across 34 hospitalsWI$2,461Michigan: median $1,083 across 36 hospitalsMI$1,083New York: median $3,245 across 56 hospitalsNY$3,245Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,813 across 21 hospitalsOR$1,813Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,359 across 30 hospitalsIA$1,359Indiana: median $629 across 14 hospitalsIN$629Ohio: median $2,613 across 22 hospitalsOH$2,613Pennsylvania: median $2,731 across 26 hospitalsPA$2,731New Jersey: median $3,591 across 33 hospitalsNJ$3,591Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,436 across 74 hospitalsCA$3,436Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,175 across 11 hospitalsCO$1,175Nebraska: median $1,137 across 14 hospitalsNE$1,137Missouri: median $1,283 across 19 hospitalsMO$1,283Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,149 across 16 hospitalsWV$1,149Virginia: median $8,201 across 10 hospitalsVA$8,201Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,052 across 11 hospitalsKS$1,052Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,346 across 18 hospitalsSC$5,346Oklahoma: median $776 across 15 hospitalsOK$776Louisiana: median $2,499 across 15 hospitalsLA$2,499Mississippi: median $946 across 10 hospitalsMS$946Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $7,650 across 11 hospitalsGA$7,650Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,699 across 35 hospitalsTX$3,699Florida: median $4,839 across 11 hospitalsFL$4,839
Cash price by state, most expensive first. National median $2,461. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA10$8,201+233%$286 – $12,188
Georgia GA11$7,650+211%$4,581 – $7,650
Idaho ID10$7,189+192%$2,369 – $7,189
South Carolina SC18$5,346+117%$5,346 – $6,629
Florida FL11$4,839+97%$2,753 – $10,250
Texas TX35$3,699+50%$2,774 – $4,424
New Jersey NJ33$3,591+46%$3,035 – $5,419
Washington WA26$3,441+40%$1,037 – $5,936
California CA74$3,436+40%$1,269 – $8,982
New York NY56$3,245+32%$1,093 – $4,595
Pennsylvania PA26$2,731+11%$274 – $5,610
Ohio OH22$2,613+6%$1,035 – $11,992
Louisiana LA15$2,499+2%$826 – $4,104
Wisconsin WI34$2,4610%$2,390 – $3,700
Minnesota MN31$1,987−19%$955 – $2,609
Oregon OR21$1,813−26%$1,037 – $7,656
Iowa IA30$1,359−45%$929 – $1,564
Illinois IL32$1,359−45%$670 – $4,577
Missouri MO19$1,283−48%$684 – $11,068
Colorado CO11$1,175−52%$979 – $4,855
West Virginia WV16$1,149−53%$471 – $4,063
Nebraska NE14$1,137−54%$847 – $2,262
Michigan MI36$1,083−56%$981 – $3,817
Kansas KS11$1,052−57%$813 – $1,270
Mississippi MS10$946−62%$836 – $4,250
Oklahoma OK15$776−68%$776 – $4,461
Indiana IN14$629−74%$617 – $10,328
Alaska AK9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND2not 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 $2,461.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care563$3,065$1,004 – $6,924
Children’s8fewer than 20 hospitals
Critical access200$1,379$800 – $3,124
Ownership
For-profit60$4,004$1,083 – $8,009
Government137$1,586$869 – $4,581
Non-profit574$2,461$954 – $5,818
System affiliation
Part of a system609$2,753$981 – $6,311
Independent164$1,422$813 – $3,780

Cash price vs list price

Median list price (chargemaster)$2,469
Median cash price$2,461
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

391 hospitals filed a usable inpatient cash price for this code. The median is $1,359 and the average of the middle 60% is $1,882; most fall between $776 and $5,011.

Cash price percentiles, inpatient, across 391 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
$617$896$1,359$4,110$7,189

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($617 vs $7,189).

Of the 425 hospitals that filed this code inpatient, 391 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

773 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 848 hospitals that filed this code at all gave us
Usable cash price — counted773
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded17
Hospitals that filed this code848

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,Submuscular.

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 an anal fistula between the sphincter muscles (CPT 46275) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46275-repair-of-an-anal-fistula-between-the-sphincter-muscles