HRHospitalRates.comCompare prices

Procedure price report · Hemorrhoid procedures

Removal of a clotted external hemorrhoid

CPT 46320the billing code this page is about

Cutting out an external hemorrhoid that contains a blood clot, usually done in one visit under local anesthesia.

Hospitals typically charge $1,301 cash for this outpatient procedure — the median across 1,902 hospitals that filed a usable cash price; the average of the middle 60% is $1,412. Most fall between $332 and $3,234 (20th–80th percentile).

Hospitals
1,902
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 1,902 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
$208$407$1,301$2,800$4,713

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($208 vs $4,713).

How the prices are spread

$143 – $211: 104 hospitals$143$211 – $311: 152 hospitals$311 – $459: 181 hospitals$311$459 – $677: 165 hospitals$677 – $1,000: 128 hospitals$677$1,000 – $1,475: 209 hospitals$1,475 – $2,177: 256 hospitals$1,475$2,177 – $3,213: 229 hospitals$3,213 – $4,741: 194 hospitals$3,213$4,741 – $6,997: 94 hospitals$4,741median $1,301price bands are equal on a log scale
Hospitals per price band (1,712 of 1,902 — the bands cover the 5th to 95th percentile)
FromToHospitals
$143$211104
$211$311152
$311$459181
$459$677165
$677$1,000128
$1,000$1,475209
$1,475$2,177256
$2,177$3,213229
$3,213$4,741194
$4,741$6,99794

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,301
Cash as a multiple of Medicare1.06×

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 $1,301.

Alaska: median $926 across 14 hospitalsAK$926Maine: median $402 across 20 hospitalsME$402Vermont: median $2,067 across 11 hospitalsVT$2,067New Hampshire: median $245 across 15 hospitalsNH$245Washington: median $947 across 59 hospitalsWA$947Idaho: median $891 across 21 hospitalsID$891Montana: median $358 across 17 hospitalsMT$358North Dakota: median $1,216 across 11 hospitalsND$1,216Minnesota: median $654 across 74 hospitalsMN$654Illinois: median $1,055 across 74 hospitalsIL$1,055Wisconsin: median $611 across 69 hospitalsWI$611Michigan: median $1,293 across 64 hospitalsMI$1,293New York: median $1,625 across 81 hospitalsNY$1,625Massachusetts: median $2,441 across 41 hospitalsMA$2,441Oregon: median $603 across 43 hospitalsOR$603Nevada: median $800 across 12 hospitalsNV$800Wyoming: median $262 across 11 hospitalsWY$262South Dakota: median $598 across 13 hospitalsSD$598Iowa: median $484 across 61 hospitalsIA$484Indiana: median $653 across 40 hospitalsIN$653Ohio: median $2,388 across 76 hospitalsOH$2,388Pennsylvania: median $1,523 across 80 hospitalsPA$1,523New Jersey: median $3,182 across 47 hospitalsNJ$3,182Connecticut: median $1,079 across 13 hospitalsCT$1,079Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,120 across 108 hospitalsCA$3,120Utah: median $441 across 27 hospitalsUT$441Colorado: median $1,382 across 40 hospitalsCO$1,382Nebraska: median $514 across 41 hospitalsNE$514Missouri: median $352 across 44 hospitalsMO$352Kentucky: median $338 across 26 hospitalsKY$338West Virginia: median $1,314 across 28 hospitalsWV$1,314Virginia: median $1,986 across 44 hospitalsVA$1,986Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $7,068 across 18 hospitalsAZ$7,068New Mexico: median $2,515 across 19 hospitalsNM$2,515Kansas: median $365 across 47 hospitalsKS$365Arkansas: median $628 across 23 hospitalsAR$628Tennessee: median $675 across 27 hospitalsTN$675North Carolina: median $1,757 across 44 hospitalsNC$1,757South Carolina: median $3,236 across 27 hospitalsSC$3,236Oklahoma: median $276 across 28 hospitalsOK$276Louisiana: median $826 across 32 hospitalsLA$826Mississippi: median $1,042 across 24 hospitalsMS$1,042Alabama: median $1,329 across 20 hospitalsAL$1,329Georgia: median $1,462 across 57 hospitalsGA$1,462Hawaii: median $2,639 across 12 hospitalsHI$2,639Texas: median $1,915 across 131 hospitalsTX$1,915Florida: median $2,862 across 54 hospitalsFL$2,862
Cash price by state, most expensive first. National median $1,301. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ18$7,068+443%$417 – $7,068
South Carolina SC27$3,236+149%$2,649 – $3,236
New Jersey NJ47$3,182+145%$1,306 – $5,339
California CA108$3,120+140%$896 – $7,711
Florida FL54$2,862+120%$1,184 – $4,407
Hawaii HI12$2,639+103%$265 – $4,719
New Mexico NM19$2,515+93%$263 – $8,148
Massachusetts MA41$2,441+88%$764 – $4,679
Ohio OH76$2,388+84%$511 – $4,794
Vermont VT11$2,067+59%$255 – $2,552
Virginia VA44$1,986+53%$675 – $2,105
Texas TX131$1,915+47%$985 – $2,986
North Carolina NC44$1,757+35%$996 – $1,935
New York NY81$1,625+25%$369 – $3,944
Pennsylvania PA80$1,523+17%$296 – $2,636
Georgia GA57$1,462+12%$872 – $3,636
Colorado CO40$1,382+6%$328 – $2,289
Alabama AL20$1,329+2%$473 – $3,466
West Virginia WV28$1,314+1%$125 – $2,329
Michigan MI64$1,293−1%$134 – $3,307
North Dakota ND11$1,216−7%$176 – $1,924
Connecticut CT13$1,079−17%$308 – $2,149
Illinois IL74$1,055−19%$362 – $3,018
Mississippi MS24$1,042−20%$262 – $4,607
Washington WA59$947−27%$275 – $3,117
Alaska AK14$926−29%$530 – $2,982
Idaho ID21$891−32%$236 – $3,234
Louisiana LA32$826−36%$458 – $2,113
Nevada NV12$800−39%$387 – $2,590
Tennessee TN27$675−48%$310 – $1,878
Minnesota MN74$654−50%$304 – $1,909
Indiana IN40$653−50%$234 – $1,379
Arkansas AR23$628−52%$332 – $2,798
Wisconsin WI69$611−53%$320 – $1,986
Oregon OR43$603−54%$387 – $1,456
South Dakota SD13$598−54%$325 – $1,774
Nebraska NE41$514−60%$405 – $1,612
Iowa IA61$484−63%$296 – $1,628
Utah UT27$441−66%$363 – $482
Maine ME20$402−69%$168 – $1,776
Kansas KS47$365−72%$211 – $1,621
Montana MT17$358−73%$148 – $738
Missouri MO44$352−73%$235 – $2,205
Kentucky KY26$338−74%$208 – $1,396
Oklahoma OK28$276−79%$142 – $2,503
Wyoming WY11$262−80%$201 – $466
New Hampshire NH15$245−81%$103 – $1,597
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not 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 $1,301.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,331$1,757$482 – $3,636
Children’s14fewer than 20 hospitals
Critical access551$460$233 – $1,461
Ownership
For-profit171$2,207$800 – $5,261
Government390$872$268 – $2,126
Non-profit1,335$1,322$332 – $3,236
System affiliation
Part of a system1,510$1,463$385 – $3,470
Independent392$575$219 – $2,115

Cash price vs list price

Median list price (chargemaster)$2,527
Median cash price$1,301
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

1,334 hospitals filed a usable inpatient cash price for this code. The median is $1,575 and the average of the middle 60% is $1,643; most fall between $376 and $3,329.

Cash price percentiles, inpatient, across 1,334 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
$234$482$1,575$3,056$4,868

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($234 vs $4,868).

Of the 1,450 hospitals that filed this code inpatient, 1,334 gave a usable cash price; 45 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 71 a list price only.

How complete is this

1,902 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,064 hospitals that filed this code at all gave us
Usable cash price — counted1,902
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded80
Hospitals that filed this code2,064

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 Hemorrhoid procedures family.

Hospitals file this code under descriptions such as PR Removal of Hemorrhoid Clot.

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, “Removal of a clotted external hemorrhoid (CPT 46320) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46320-removal-of-a-clotted-external-hemorrhoid