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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Anoscopy with destruction of a growth

CPT 46615the billing code this page is about

Examination of the anal canal with a scope and destruction of a polyp, tumor, or lesion that cannot be removed with forceps, snare, or cautery.

Hospitals typically charge $1,524 cash for this outpatient procedure — the median across 495 hospitals that filed a usable cash price; the average of the middle 60% is $1,829. Most fall between $294 and $4,628 (20th–80th percentile).

Hospitals
495
States
48
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 495 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
$164$324$1,524$3,986$7,403

The most expensive tenth of hospitals charges at least 45× what the cheapest tenth charges ($164 vs $7,403).

How the prices are spread

$134 – $205: 38 hospitals$134$205 – $312: 53 hospitals$312 – $476: 62 hospitals$312$476 – $727: 30 hospitals$727 – $1,108: 23 hospitals$727$1,108 – $1,690: 31 hospitals$1,690 – $2,578: 35 hospitals$1,690$2,578 – $3,931: 74 hospitals$3,931 – $5,996: 63 hospitals$3,931$5,996 – $9,145: 44 hospitals$5,996median $1,524price bands are equal on a log scale
Hospitals per price band (453 of 495 — the bands cover the 5th to 95th percentile)
FromToHospitals
$134$20538
$205$31253
$312$47662
$476$72730
$727$1,10823
$1,108$1,69031
$1,690$2,57835
$2,578$3,93174
$3,931$5,99663
$5,996$9,14544

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,524
Cash as a multiple of Medicare0.54×

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 $1,524.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: median $348 across 14 hospitalsMN$348Illinois: median $396 across 21 hospitalsIL$396Wisconsin: median $478 across 28 hospitalsWI$478Michigan: median $331 across 29 hospitalsMI$331New York: median $3,245 across 25 hospitalsNY$3,245Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $504 across 19 hospitalsOR$504Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $396 across 17 hospitalsIA$396Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $2,367 across 27 hospitalsOH$2,367Pennsylvania: median $2,086 across 18 hospitalsPA$2,086New Jersey: median $4,350 across 27 hospitalsNJ$4,350Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,158 across 55 hospitalsCA$5,158Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,766 across 13 hospitalsMO$2,766Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,929 across 20 hospitalsVA$2,929Maryland: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 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: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $150 across 13 hospitalsOK$150Louisiana: median $1,583 across 15 hospitalsLA$1,583Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $5,544 across 12 hospitalsGA$5,544Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $2,598 across 11 hospitalsFL$2,598
Cash price by state, most expensive first. National median $1,524. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA12$5,544+264%$1,645 – $5,544
California CA55$5,158+238%$3,067 – $9,145
New Jersey NJ27$4,350+185%$3,038 – $6,311
New York NY25$3,245+113%$260 – $3,245
Virginia VA20$2,929+92%$1,287 – $3,402
Missouri MO13$2,766+81%$232 – $12,713
Florida FL11$2,598+70%$390 – $2,753
Ohio OH27$2,367+55%$390 – $3,065
Pennsylvania PA18$2,086+37%$58 – $5,168
Louisiana LA15$1,583+4%$676 – $2,188
Oregon OR19$504−67%$317 – $2,386
Wisconsin WI28$478−69%$300 – $1,072
Iowa IA17$396−74%$396 – $642
Illinois IL21$396−74%$164 – $2,158
Minnesota MN14$348−77%$193 – $2,059
Michigan MI29$331−78%$300 – $561
Oklahoma OK13$150−90%$150 – $4,709
Nebraska NE9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Indiana IN1not 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

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 $1,524.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care398$2,301$317 – $5,041
Children’s8fewer than 20 hospitals
Critical access88$389$218 – $1,111
Ownership
For-profit34$2,766$300 – $5,544
Government90$1,409$278 – $3,245
Non-profit370$1,365$300 – $4,881
System affiliation
Part of a system405$1,928$300 – $4,950
Independent90$478$214 – $2,753

Cash price vs list price

Median list price (chargemaster)$1,561
Median cash price$1,524
Cash as a share of list, median hospital63%

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

290 hospitals filed a usable inpatient cash price for this code. The median is $1,544 and the average of the middle 60% is $1,798; most fall between $268 and $4,628.

Cash price percentiles, inpatient, across 290 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
$150$300$1,544$4,571$7,189

The most expensive tenth of hospitals charges at least 48× what the cheapest tenth charges ($150 vs $7,189).

Of the 322 hospitals that filed this code inpatient, 290 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

495 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 550 hospitals that filed this code at all gave us
Usable cash price — counted495
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
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 — excluded18
Hospitals that filed this code550

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 Ablation Lesion.

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 with destruction of a growth (CPT 46615) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46615-anoscopy-with-destruction-of-a-growth