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Procedure price report · Other OR lower GI therapeutic procedures

Second-stage surgery for an anal fistula

CPT 46285the billing code this page is about

The follow-up operation that completes treatment of an anal fistula begun in an earlier procedure.

Hospitals typically charge $1,860 cash for this outpatient procedure — the median across 411 hospitals that filed a usable cash price; the average of the middle 60% is $2,382. Most fall between $802 and $5,269 (20th–80th percentile).

Hospitals
411
States
47
Filings dated
Mar 2023 – 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 411 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
$654$913$1,860$4,554$8,982

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($654 vs $8,982).

How the prices are spread

$468 – $631: 22 hospitals$468$631 – $851: 51 hospitals$851 – $1,147: 46 hospitals$851$1,147 – $1,546: 44 hospitals$1,546 – $2,085: 32 hospitals$1,546$2,085 – $2,810: 16 hospitals$2,810 – $3,788: 47 hospitals$2,810$3,788 – $5,106: 49 hospitals$5,106 – $6,883: 24 hospitals$5,106$6,883 – $9,278: 41 hospitals$6,883median $1,860price bands are equal on a log scale
Hospitals per price band (372 of 411 — the bands cover the 5th to 95th percentile)
FromToHospitals
$468$63122
$631$85151
$851$1,14746
$1,147$1,54644
$1,546$2,08532
$2,085$2,81016
$2,810$3,78847
$3,788$5,10649
$5,106$6,88324
$6,883$9,27841

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,860
Cash as a multiple of Medicare0.66×

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 $1,860.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,540 across 11 hospitalsWA$1,540Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,823 across 14 hospitalsMN$1,823Illinois: median $998 across 19 hospitalsIL$998Wisconsin: median $3,676 across 10 hospitalsWI$3,676Michigan: median $699 across 26 hospitalsMI$699New York: median $3,245 across 25 hospitalsNY$3,245Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,319 across 14 hospitalsOR$1,319Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $1,353 across 22 hospitalsIA$1,353Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,409 across 11 hospitalsOH$1,409Pennsylvania: median $4,004 across 15 hospitalsPA$4,004New Jersey: median $3,884 across 30 hospitalsNJ$3,884Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,982 across 36 hospitalsCA$8,982Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $473 across 10 hospitalsWV$473Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $913 across 12 hospitalsOK$913Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,978 across 20 hospitalsTX$3,978Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,860. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA36$8,982+383%$1,124 – $8,982
Pennsylvania PA15$4,004+115%$2,086 – $5,610
Texas TX20$3,978+114%$3,978 – $3,978
New Jersey NJ30$3,884+109%$3,035 – $5,339
Wisconsin WI10$3,676+98%$2,031 – $3,676
New York NY25$3,245+74%$1,260 – $3,245
Minnesota MN14$1,823−2%$934 – $1,823
Washington WA11$1,540−17%$1,046 – $3,482
Ohio OH11$1,409−24%$1,029 – $3,065
Iowa IA22$1,353−27%$1,015 – $1,579
Oregon OR14$1,319−29%$1,039 – $1,584
Illinois IL19$998−46%$412 – $9,233
Oklahoma OK12$913−51%$913 – $913
Michigan MI26$699−62%$699 – $3,817
West Virginia WV10$473−75%$460 – $1,479
Florida FL9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,860.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care326$2,997$865 – $5,855
Children’s3fewer than 20 hospitals
Critical access81$1,139$709 – $2,041
Ownership
For-profit36$4,104$809 – $7,489
Government71$1,503$815 – $3,245
Non-profit303$1,878$802 – $5,110
System affiliation
Part of a system327$2,713$872 – $5,741
Independent84$1,145$759 – $3,065

Cash price vs list price

Median list price (chargemaster)$1,740
Median cash price$1,860
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

204 hospitals filed a usable inpatient cash price for this code. The median is $1,353 and the average of the middle 60% is $1,827; most fall between $746 and $4,554.

Cash price percentiles, inpatient, across 204 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
$498$799$1,353$3,978$7,189

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($498 vs $7,189).

Of the 231 hospitals that filed this code inpatient, 204 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

411 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 466 hospitals that filed this code at all gave us
Usable cash price — counted411
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded7
Hospitals that filed this code466

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 23, 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 Surg Tx Anal Fistula 2nd Stage.

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, “Second-stage surgery for an anal fistula (CPT 46285) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46285-second-stage-surgery-for-an-anal-fistula