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Procedure price report · Other OR lower GI therapeutic procedures

Surgery to repair a complex anal fistula

CPT 46280the billing code this page is about

Open surgical treatment of an abnormal tunnel around the anal sphincter muscles, including placement of a seton (a drainage thread) when done.

Hospitals typically charge $2,262 cash for this outpatient procedure — the median across 722 hospitals that filed a usable cash price; the average of the middle 60% is $2,405. Most fall between $892 and $5,100 (20th–80th percentile).

Hospitals
722
States
48
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 722 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
$649$1,007$2,262$4,329$8,566

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($649 vs $8,566).

How the prices are spread

$503 – $687: 45 hospitals$503$687 – $937: 80 hospitals$937 – $1,278: 119 hospitals$937$1,278 – $1,744: 51 hospitals$1,744 – $2,379: 36 hospitals$1,744$2,379 – $3,246: 92 hospitals$3,246 – $4,428: 86 hospitals$3,246$4,428 – $6,041: 57 hospitals$6,041 – $8,241: 40 hospitals$6,041$8,241 – $11,243: 45 hospitals$8,241median $2,262price bands are equal on a log scale
Hospitals per price band (651 of 722 — the bands cover the 5th to 95th percentile)
FromToHospitals
$503$68745
$687$93780
$937$1,278119
$1,278$1,74451
$1,744$2,37936
$2,379$3,24692
$3,246$4,42886
$4,428$6,04157
$6,041$8,24140
$8,241$11,24345

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,262
Cash as a multiple of Medicare0.80×

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 $2,262.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,175 across 20 hospitalsWA$1,175Idaho: median $3,900 across 13 hospitalsID$3,900Montana: 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 $2,165 across 31 hospitalsMN$2,165Illinois: median $1,722 across 27 hospitalsIL$1,722Wisconsin: median $2,558 across 34 hospitalsWI$2,558Michigan: median $1,261 across 35 hospitalsMI$1,261New York: median $3,245 across 53 hospitalsNY$3,245Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,166 across 20 hospitalsOR$1,166Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,176 across 32 hospitalsIA$1,176Indiana: median $1,614 across 17 hospitalsIN$1,614Ohio: median $3,371 across 28 hospitalsOH$3,371Pennsylvania: median $969 across 26 hospitalsPA$969New Jersey: median $3,659 across 30 hospitalsNJ$3,659Connecticut: 3 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 $3,552 across 57 hospitalsCA$3,552Utah: no hospital in the corpus filed a usable priceUTColorado: median $1,006 across 11 hospitalsCO$1,006Nebraska: median $1,072 across 14 hospitalsNE$1,072Missouri: median $4,585 across 21 hospitalsMO$4,585Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $858 across 15 hospitalsWV$858Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 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 $988 across 13 hospitalsKS$988Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,007 across 15 hospitalsOK$1,007Louisiana: median $2,056 across 15 hospitalsLA$2,056Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $8,241 across 10 hospitalsGA$8,241Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,165 across 33 hospitalsTX$4,165Florida: median $2,753 across 12 hospitalsFL$2,753
Cash price by state, most expensive first. National median $2,262. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA10$8,241+264%$2,770 – $8,241
Missouri MO21$4,585+103%$746 – $6,782
Texas TX33$4,165+84%$2,774 – $5,791
Idaho ID13$3,900+72%$1,919 – $7,189
New Jersey NJ30$3,659+62%$3,035 – $5,339
California CA57$3,552+57%$1,269 – $8,803
Ohio OH28$3,371+49%$941 – $6,449
New York NY53$3,245+43%$822 – $4,595
Florida FL12$2,753+22%$1,661 – $11,462
Wisconsin WI34$2,558+13%$2,558 – $3,797
Minnesota MN31$2,165−4%$1,038 – $2,570
Louisiana LA15$2,056−9%$770 – $4,104
Illinois IL27$1,722−24%$701 – $12,652
Indiana IN17$1,614−29%$701 – $6,366
Michigan MI35$1,261−44%$923 – $3,817
Iowa IA32$1,176−48%$889 – $1,380
Washington WA20$1,175−48%$892 – $4,178
Oregon OR20$1,166−48%$892 – $1,409
Nebraska NE14$1,072−53%$934 – $1,788
Oklahoma OK15$1,007−55%$1,007 – $3,821
Colorado CO11$1,006−55%$834 – $2,609
Kansas KS13$988−56%$687 – $1,429
Pennsylvania PA26$969−57%$312 – $5,610
West Virginia WV15$858−62%$503 – $3,228
Montana MT9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
South Dakota SD2not 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 $2,262.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care520$3,019$941 – $6,287
Children’s10fewer than 20 hospitals
Critical access190$1,261$834 – $3,052
Ownership
For-profit63$3,552$1,164 – $8,009
Government133$1,340$834 – $3,600
Non-profit524$2,339$923 – $4,960
System affiliation
Part of a system561$2,558$930 – $5,339
Independent161$1,484$834 – $4,583

Cash price vs list price

Median list price (chargemaster)$2,440
Median cash price$2,262
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

351 hospitals filed a usable inpatient cash price for this code. The median is $1,269 and the average of the middle 60% is $1,608; most fall between $782 and $3,883.

Cash price percentiles, inpatient, across 351 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
$583$883$1,269$3,206$6,975

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($583 vs $6,975).

Of the 395 hospitals that filed this code inpatient, 351 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

722 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 803 hospitals that filed this code at all gave us
Usable cash price — counted722
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 — excluded25
Hospitals that filed this code803

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 Tx Anal Fstl Trans/Supra/Xtrasphnctrc Incl Seton.

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, “Surgery to repair a complex anal fistula (CPT 46280) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46280-surgery-to-repair-a-complex-anal-fistula