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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

High-magnification anoscopy with biopsy

CPT 46607the billing code this page is about

Examination of the anal canal with a high-resolution magnifying scope after staining, including removal of one or more tissue samples.

Hospitals typically charge $1,418 cash for this outpatient procedure — the median across 484 hospitals that filed a usable cash price; the average of the middle 60% is $1,612. Most fall between $497 and $3,483 (20th–80th percentile).

Hospitals
484
States
47
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 484 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
$297$582$1,418$3,210$5,179

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($297 vs $5,179).

How the prices are spread

$212 – $302: 35 hospitals$212$302 – $430: 27 hospitals$430 – $611: 39 hospitals$430$611 – $869: 37 hospitals$869 – $1,236: 48 hospitals$869$1,236 – $1,758: 72 hospitals$1,758 – $2,500: 65 hospitals$1,758$2,500 – $3,555: 55 hospitals$3,555 – $5,056: 31 hospitals$3,555$5,056 – $7,191: 27 hospitals$5,056median $1,418price bands are equal on a log scale
Hospitals per price band (436 of 484 — the bands cover the 5th to 95th percentile)
FromToHospitals
$212$30235
$302$43027
$430$61139
$611$86937
$869$1,23648
$1,236$1,75872
$1,758$2,50065
$2,500$3,55555
$3,555$5,05631
$5,056$7,19127

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,418
Cash as a multiple of Medicare1.16×

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 $1,418.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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 $2,551 across 11 hospitalsWA$2,551Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,014 across 25 hospitalsIL$1,014Wisconsin: median $1,578 across 29 hospitalsWI$1,578Michigan: median $1,130 across 18 hospitalsMI$1,130New York: median $1,395 across 33 hospitalsNY$1,395Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $582 across 20 hospitalsOR$582Nevada: 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 $497 across 16 hospitalsIA$497Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,526 across 19 hospitalsOH$3,526Pennsylvania: median $1,382 across 23 hospitalsPA$1,382New Jersey: median $2,030 across 29 hospitalsNJ$2,030Connecticut: 6 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 $2,439 across 50 hospitalsCA$2,439Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,587 across 16 hospitalsVA$1,587Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $251 across 13 hospitalsOK$251Louisiana: median $831 across 10 hospitalsLA$831Mississippi: 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 $708 across 22 hospitalsGA$708Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $4,407 across 30 hospitalsFL$4,407
Cash price by state, most expensive first. National median $1,418. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL30$4,407+211%$1,418 – $7,191
Ohio OH19$3,526+149%$1,301 – $3,526
Washington WA11$2,551+80%$511 – $3,210
California CA50$2,439+72%$2,038 – $3,483
New Jersey NJ29$2,030+43%$1,306 – $5,339
Virginia VA16$1,587+12%$1,164 – $1,587
Wisconsin WI29$1,578+11%$1,130 – $2,106
New York NY33$1,395−2%$360 – $1,494
Pennsylvania PA23$1,382−3%$83 – $2,416
Michigan MI18$1,130−20%$238 – $10,711
Illinois IL25$1,014−29%$298 – $3,736
Louisiana LA10$831−41%$447 – $1,400
Georgia GA22$708−50%$545 – $2,183
Oregon OR20$582−59%$374 – $822
Iowa IA16$497−65%$497 – $816
Oklahoma OK13$251−82%$251 – $1,974
Texas TX9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Utah UT1not 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 $1,418.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care435$1,420$497 – $3,526
Children’s1fewer than 20 hospitals
Critical access47$1,130$475 – $2,106
Ownership
For-profit43$1,130$298 – $3,453
Government66$1,395$539 – $2,738
Non-profit374$1,494$497 – $3,506
System affiliation
Part of a system424$1,494$511 – $3,526
Independent60$945$357 – $1,961

Cash price vs list price

Median list price (chargemaster)$2,364
Median cash price$1,418
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

320 hospitals filed a usable inpatient cash price for this code. The median is $1,164 and the average of the middle 60% is $1,357; most fall between $379 and $3,210.

Cash price percentiles, inpatient, across 320 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
$251$497$1,164$2,416$3,526

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($251 vs $3,526).

Of the 350 hospitals that filed this code inpatient, 320 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

484 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 529 hospitals that filed this code at all gave us
Usable cash price — counted484
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded14
Hospitals that filed this code529

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 W/Bx.

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 biopsy (CPT 46607) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46607-high-magnification-anoscopy-with-biopsy