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Procedure price report · Other OR lower GI therapeutic procedures

Anal fistula closure using a flap of rectal tissue

CPT 46288the billing code this page is about

Surgical repair that seals an abnormal tunnel near the anus by moving a flap of nearby rectal or anal lining over the opening.

Hospitals typically charge $2,437 cash for this outpatient procedure — the median across 464 hospitals that filed a usable cash price; the average of the middle 60% is $2,726. Most fall between $1,049 and $5,741 (20th–80th percentile).

Hospitals
464
States
46
Filings dated
Mar 2023 – 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 464 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
$745$1,190$2,437$4,750$8,982

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($745 vs $8,982).

How the prices are spread

$619 – $822: 35 hospitals$619$822 – $1,091: 43 hospitals$1,091 – $1,449: 55 hospitals$1,091$1,449 – $1,923: 35 hospitals$1,923 – $2,553: 52 hospitals$1,923$2,553 – $3,390: 53 hospitals$3,390 – $4,501: 42 hospitals$3,390$4,501 – $5,976: 39 hospitals$5,976 – $7,934: 23 hospitals$5,976$7,934 – $10,534: 42 hospitals$7,934median $2,437price bands are equal on a log scale
Hospitals per price band (419 of 464 — the bands cover the 5th to 95th percentile)
FromToHospitals
$619$82235
$822$1,09143
$1,091$1,44955
$1,449$1,92335
$1,923$2,55352
$2,553$3,39053
$3,390$4,50142
$4,501$5,97639
$5,976$7,93423
$7,934$10,53442

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,437
Cash as a multiple of Medicare0.86×

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 $2,437.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 5 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 $1,190 across 11 hospitalsWA$1,190Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 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 $2,354 across 11 hospitalsMN$2,354Illinois: median $1,081 across 17 hospitalsIL$1,081Wisconsin: median $3,686 across 31 hospitalsWI$3,686Michigan: median $1,072 across 29 hospitalsMI$1,072New York: median $3,245 across 27 hospitalsNY$3,245Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,222 across 12 hospitalsOR$1,222Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $1,370 across 17 hospitalsIA$1,370Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,031 across 17 hospitalsOH$2,031Pennsylvania: median $4,259 across 14 hospitalsPA$4,259New Jersey: median $3,230 across 32 hospitalsNJ$3,230Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,982 across 37 hospitalsCA$8,982Utah: no hospital in the corpus filed a usable priceUTColorado: median $2,315 across 11 hospitalsCO$2,315Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $3,416 across 11 hospitalsMO$3,416Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $619 across 11 hospitalsWV$619Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,171 across 13 hospitalsOK$1,171Louisiana: median $3,095 across 10 hospitalsLA$3,095Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,914 across 34 hospitalsTX$2,914Florida: median $2,079 across 10 hospitalsFL$2,079
Cash price by state, most expensive first. National median $2,437. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA37$8,982+269%$3,193 – $8,982
Pennsylvania PA14$4,259+75%$2,086 – $5,906
Wisconsin WI31$3,686+51%$2,437 – $4,284
Missouri MO11$3,416+40%$870 – $10,193
New York NY27$3,245+33%$1,645 – $3,295
New Jersey NJ32$3,230+33%$2,997 – $5,419
Louisiana LA10$3,095+27%$914 – $7,456
Texas TX34$2,914+20%$2,914 – $5,637
Minnesota MN11$2,354−3%$2,006 – $2,354
Colorado CO11$2,315−5%$1,010 – $2,315
Florida FL10$2,079−15%$1,317 – $7,646
Ohio OH17$2,031−17%$1,298 – $13,778
Iowa IA17$1,370−44%$1,370 – $1,370
Oregon OR12$1,222−50%$1,034 – $1,561
Washington WA11$1,190−51%$1,034 – $7,274
Oklahoma OK13$1,171−52%$1,171 – $5,591
Illinois IL17$1,081−56%$648 – $5,228
Michigan MI29$1,072−56%$1,001 – $3,817
West Virginia WV11$619−75%$587 – $1,840
Idaho ID9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not 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 $2,437.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care367$2,914$1,171 – $7,246
Children’s6fewer than 20 hospitals
Critical access89$1,490$831 – $3,686
Ownership
For-profit54$3,019$1,382 – $8,082
Government64$1,562$1,005 – $4,121
Non-profit344$2,437$1,034 – $5,637
System affiliation
Part of a system377$2,914$1,171 – $6,311
Independent87$1,409$944 – $3,821

Cash price vs list price

Median list price (chargemaster)$2,675
Median cash price$2,437
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

244 hospitals filed a usable inpatient cash price for this code. The median is $1,734 and the average of the middle 60% is $2,093; most fall between $944 and $4,750.

Cash price percentiles, inpatient, across 244 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
$648$1,034$1,734$3,738$8,982

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($648 vs $8,982).

Of the 278 hospitals that filed this code inpatient, 244 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

464 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 523 hospitals that filed this code at all gave us
Usable cash price — counted464
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
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 — excluded9
Hospitals that filed this code523

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 Other OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Clsr Anal Fstl W/Rct Advmnt Flap.

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, “Anal fistula closure using a flap of rectal tissue (CPT 46288) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46288-anal-fistula-closure-using-a-flap-of-rectal-tissue