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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

High-magnification anoscopy with tissue staining

CPT 46601the billing code this page is about

Examination of the anal canal using a scope with high-resolution magnification after a dye or chemical is applied to highlight abnormal areas.

Hospitals typically charge $355 cash for this outpatient procedure — the median across 489 hospitals that filed a usable cash price; the average of the middle 60% is $381. Most fall between $174 and $736 (20th–80th percentile).

Hospitals
489
States
43
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 489 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
$131$212$355$634$1,193

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($131 vs $1,193).

How the prices are spread

$101 – $145: 46 hospitals$101$145 – $208: 48 hospitals$208 – $299: 101 hospitals$208$299 – $430: 71 hospitals$430 – $617: 67 hospitals$430$617 – $887: 52 hospitals$887 – $1,275: 36 hospitals$887$1,275 – $1,833: 14 hospitals$1,833 – $2,634: 3 hospitals$1,833$2,634 – $3,786: 5 hospitals$2,634median $355price bands are equal on a log scale
Hospitals per price band (443 of 489 — the bands cover the 5th to 95th percentile)
FromToHospitals
$101$14546
$145$20848
$208$299101
$299$43071
$430$61767
$617$88752
$887$1,27536
$1,275$1,83314
$1,833$2,6343
$2,634$3,7865

Against Medicare

Medicare pays (OPPS 2026, national rate)$456
Median cash price$355
Cash as a multiple of Medicare0.78×

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 $355.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 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 $277 across 14 hospitalsWA$277Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $619 across 20 hospitalsIL$619Wisconsin: median $634 across 23 hospitalsWI$634Michigan: median $614 across 18 hospitalsMI$614New York: median $472 across 29 hospitalsNY$472Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $421 across 19 hospitalsOR$421Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $355 across 17 hospitalsIA$355Indiana: median $740 across 14 hospitalsIN$740Ohio: median $1,193 across 17 hospitalsOH$1,193Pennsylvania: median $297 across 23 hospitalsPA$297New Jersey: median $532 across 29 hospitalsNJ$532Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $269 across 64 hospitalsCA$269Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $192 across 17 hospitalsWV$192Virginia: 8 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: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $155 across 13 hospitalsOK$155Louisiana: median $133 across 12 hospitalsLA$133Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $249 across 25 hospitalsGA$249Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $222 across 11 hospitalsTX$222Florida: median $226 across 20 hospitalsFL$226
Cash price by state, most expensive first. National median $355. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH17$1,193+236%$416 – $1,193
Indiana IN14$740+108%$647 – $1,159
Wisconsin WI23$634+79%$223 – $634
Illinois IL20$619+74%$144 – $619
Michigan MI18$614+73%$224 – $2,781
New Jersey NJ29$532+50%$317 – $5,339
New York NY29$472+33%$269 – $758
Oregon OR19$421+18%$171 – $470
Iowa IA17$3550%$355 – $355
Pennsylvania PA23$297−16%$60 – $675
Washington WA14$277−22%$202 – $453
California CA64$269−24%$250 – $454
Georgia GA25$249−30%$249 – $8,264
Florida FL20$226−36%$226 – $826
Texas TX11$222−37%$191 – $280
West Virginia WV17$192−46%$160 – $514
Oklahoma OK13$155−56%$155 – $483
Louisiana LA12$133−62%$91 – $215
Massachusetts MA9not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Wyoming WY1not 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 $355.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care424$345$171 – $687
Children’s2fewer than 20 hospitals
Critical access62$428$223 – $976
Ownership
For-profit32$277$205 – $656
Government65$310$173 – $650
Non-profit391$355$174 – $752
System affiliation
Part of a system437$355$191 – $752
Independent52$324$146 – $578

Cash price vs list price

Median list price (chargemaster)$518
Median cash price$355
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

334 hospitals filed a usable inpatient cash price for this code. The median is $308 and the average of the middle 60% is $373; most fall between $184 and $941.

Cash price percentiles, inpatient, across 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
$135$213$308$634$1,288

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($135 vs $1,288).

Of the 368 hospitals that filed this code inpatient, 334 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

489 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 526 hospitals that filed this code at all gave us
Usable cash price — counted489
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded13
Hospitals that filed this code526

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 Sigmoidoscopy, proctoscopy, and anoscopy family.

Hospitals file this code under descriptions such as Anoscopy Dx W/HRA &Chem Agnts Enhancement.

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, “High-magnification anoscopy with tissue staining (CPT 46601) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46601-high-magnification-anoscopy-with-tissue-staining