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Procedure price report · Hemorrhoid procedures

Hemorrhoid treatment by injection

CPT 46500the billing code this page is about

Injection of a solution into hemorrhoids that causes them to scar and shrink; the code covers the injection session.

Hospitals typically charge $1,079 cash for this outpatient procedure — the median across 615 hospitals that filed a usable cash price; the average of the middle 60% is $1,106. Most fall between $340 and $2,250 (20th–80th percentile).

Hospitals
615
States
49
Filings dated
Jun 2024 – 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 615 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
$224$414$1,079$1,911$2,991

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($224 vs $2,991).

How the prices are spread

$155 – $216: 34 hospitals$155$216 – $300: 47 hospitals$300 – $417: 50 hospitals$300$417 – $579: 29 hospitals$579 – $805: 62 hospitals$579$805 – $1,119: 78 hospitals$1,119 – $1,555: 93 hospitals$1,119$1,555 – $2,160: 69 hospitals$2,160 – $3,002: 67 hospitals$2,160$3,002 – $4,172: 32 hospitals$3,002median $1,079price bands are equal on a log scale
Hospitals per price band (561 of 615 — the bands cover the 5th to 95th percentile)
FromToHospitals
$155$21634
$216$30047
$300$41750
$417$57929
$579$80562
$805$1,11978
$1,119$1,55593
$1,555$2,16069
$2,160$3,00267
$3,002$4,17232

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,079
Cash as a multiple of Medicare1.14×

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 $1,079.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,455 across 17 hospitalsWA$1,455Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $433 across 21 hospitalsIL$433Wisconsin: median $1,016 across 22 hospitalsWI$1,016Michigan: median $155 across 24 hospitalsMI$155New York: median $1,079 across 32 hospitalsNY$1,079Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,955 across 23 hospitalsOR$1,955Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $731 across 18 hospitalsIA$731Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,058 across 31 hospitalsOH$1,058Pennsylvania: median $942 across 36 hospitalsPA$942New Jersey: median $3,786 across 30 hospitalsNJ$3,786Connecticut: 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 $1,768 across 72 hospitalsCA$1,768Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $308 across 12 hospitalsMO$308Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,433 across 17 hospitalsVA$1,433Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $384 across 10 hospitalsTN$384North Carolina: median $1,287 across 19 hospitalsNC$1,287South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $298 across 17 hospitalsOK$298Louisiana: median $491 across 12 hospitalsLA$491Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,346 across 12 hospitalsGA$1,346Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,087 across 51 hospitalsTX$2,087Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,079. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ30$3,786+251%$1,009 – $5,110
Texas TX51$2,087+93%$1,133 – $2,926
Oregon OR23$1,955+81%$571 – $2,477
California CA72$1,768+64%$1,112 – $4,172
Washington WA17$1,455+35%$417 – $1,920
Virginia VA17$1,433+33%$165 – $1,433
Georgia GA12$1,346+25%$1,277 – $4,377
North Carolina NC19$1,287+19%$840 – $1,287
New York NY32$1,0790%$540 – $1,619
Ohio OH31$1,058−2%$815 – $2,726
Wisconsin WI22$1,016−6%$340 – $1,472
Pennsylvania PA36$942−13%$133 – $1,161
Iowa IA18$731−32%$717 – $731
Louisiana LA12$491−54%$331 – $1,454
Illinois IL21$433−60%$236 – $1,710
Tennessee TN10$384−64%$206 – $1,162
Missouri MO12$308−71%$157 – $638
Oklahoma OK17$298−72%$193 – $298
Michigan MI24$155−86%$155 – $922
Florida FL9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $1,079.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care494$1,133$396 – $2,477
Children’s9fewer than 20 hospitals
Critical access109$442$224 – $1,455
Ownership
For-profit47$1,190$287 – $2,509
Government98$768$363 – $1,346
Non-profit467$1,099$340 – $2,317
System affiliation
Part of a system517$1,133$340 – $2,393
Independent98$665$313 – $1,203

Cash price vs list price

Median list price (chargemaster)$1,794
Median cash price$1,079
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

444 hospitals filed a usable inpatient cash price for this code. The median is $1,133 and the average of the middle 60% is $1,232; most fall between $396 and $2,393.

Cash price percentiles, inpatient, across 444 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
$287$571$1,133$2,062$2,975

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($287 vs $2,975).

Of the 468 hospitals that filed this code inpatient, 444 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

615 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 660 hospitals that filed this code at all gave us
Usable cash price — counted615
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded12
Hospitals that filed this code660

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 Inject Scleros Soln in Hemorrhoids.

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, “Hemorrhoid treatment by injection (CPT 46500) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46500-hemorrhoid-treatment-by-injection