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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Anoscopy to stop bleeding

CPT 46614the billing code this page is about

Examination of the anal canal with a scope and treatment of a bleeding site, for example by cautery, clip, or injection.

Hospitals typically charge $833 cash for this outpatient procedure — the median across 708 hospitals that filed a usable cash price; the average of the middle 60% is $1,029. Most fall between $240 and $2,592 (20th–80th percentile).

Hospitals
708
States
49
Filings dated
Mar 2023 – 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 708 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
$144$294$833$2,288$3,640

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($144 vs $3,640).

How the prices are spread

$106 – $154: 47 hospitals$106$154 – $224: 44 hospitals$224 – $325: 78 hospitals$224$325 – $472: 69 hospitals$472 – $685: 56 hospitals$472$685 – $994: 46 hospitals$994 – $1,442: 85 hospitals$994$1,442 – $2,093: 61 hospitals$2,093 – $3,037: 68 hospitals$2,093$3,037 – $4,407: 88 hospitals$3,037median $833price bands are equal on a log scale
Hospitals per price band (642 of 708 — the bands cover the 5th to 95th percentile)
FromToHospitals
$106$15447
$154$22444
$224$32578
$325$47269
$472$68556
$685$99446
$994$1,44285
$1,442$2,09361
$2,093$3,03768
$3,037$4,40788

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$833
Cash as a multiple of Medicare0.68×

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 $833.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,706 across 34 hospitalsWA$1,706Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $634 across 20 hospitalsMN$634Illinois: median $310 across 23 hospitalsIL$310Wisconsin: median $554 across 31 hospitalsWI$554Michigan: median $294 across 28 hospitalsMI$294New York: median $1,395 across 43 hospitalsNY$1,395Massachusetts: median $1,266 across 12 hospitalsMA$1,266Oregon: median $301 across 26 hospitalsOR$301Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $362 across 29 hospitalsIA$362Indiana: median $373 across 20 hospitalsIN$373Ohio: median $3,173 across 43 hospitalsOH$3,173Pennsylvania: median $1,671 across 35 hospitalsPA$1,671New Jersey: median $3,786 across 26 hospitalsNJ$3,786Connecticut: 6 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 $2,288 across 73 hospitalsCA$2,288Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $443 across 11 hospitalsNE$443Missouri: median $294 across 10 hospitalsMO$294Kentucky: median $231 across 10 hospitalsKY$231West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,463 across 21 hospitalsVA$1,463Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $231 across 10 hospitalsKS$231Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 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: median $2,642 across 10 hospitalsSC$2,642Oklahoma: median $106 across 13 hospitalsOK$106Louisiana: median $631 across 17 hospitalsLA$631Mississippi: median $256 across 11 hospitalsMS$256Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,034 across 17 hospitalsGA$1,034Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,255 across 16 hospitalsTX$1,255Florida: median $2,851 across 10 hospitalsFL$2,851
Cash price by state, most expensive first. National median $833. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ26$3,786+354%$1,305 – $5,419
Ohio OH43$3,173+281%$291 – $3,718
Florida FL10$2,851+242%$260 – $2,947
South Carolina SC10$2,642+217%$1,071 – $6,228
California CA73$2,288+175%$1,017 – $3,640
Washington WA34$1,706+105%$296 – $2,551
Pennsylvania PA35$1,671+100%$49 – $3,812
Virginia VA21$1,463+76%$1,073 – $1,794
New York NY43$1,395+67%$252 – $2,598
Massachusetts MA12$1,266+52%$198 – $1,676
Texas TX16$1,255+51%$399 – $2,980
Georgia GA17$1,034+24%$613 – $1,034
Minnesota MN20$634−24%$198 – $833
Louisiana LA17$631−24%$371 – $1,758
Wisconsin WI31$554−34%$412 – $812
Nebraska NE11$443−47%$274 – $923
Indiana IN20$373−55%$231 – $531
Iowa IA29$362−57%$238 – $1,045
Illinois IL23$310−63%$231 – $1,560
Oregon OR26$301−64%$245 – $891
Missouri MO10$294−65%$176 – $1,942
Michigan MI28$294−65%$294 – $1,279
Mississippi MS11$256−69%$226 – $369
Kansas KS10$231−72%$131 – $830
Kentucky KY10$231−72%$99 – $4,734
Oklahoma OK13$106−87%$106 – $2,404
Alaska AK8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
North Carolina NC2not 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 $833.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care544$1,112$274 – $3,056
Children’s10fewer than 20 hospitals
Critical access152$400$202 – $1,045
Ownership
For-profit52$1,071$231 – $3,222
Government110$440$200 – $1,395
Non-profit544$923$260 – $2,600
System affiliation
Part of a system588$1,067$294 – $3,003
Independent120$334$131 – $1,209

Cash price vs list price

Median list price (chargemaster)$1,349
Median cash price$833
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

489 hospitals filed a usable inpatient cash price for this code. The median is $1,073 and the average of the middle 60% is $1,248; most fall between $231 and $3,056.

Cash price percentiles, inpatient, 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
$144$327$1,073$2,550$3,640

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($144 vs $3,640).

Of the 529 hospitals that filed this code inpatient, 489 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

708 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 767 hospitals that filed this code at all gave us
Usable cash price — counted708
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded19
Hospitals that filed this code767

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 Control Bleeding.

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, “Anoscopy to stop bleeding (CPT 46614) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46614-anoscopy-to-stop-bleeding