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Procedure price report · Other non-OR lower GI therapeutic procedures

Anal fistula repair with fibrin glue

CPT 46706the billing code this page is about

Sealing of an abnormal tunnel near the anus by filling it with a biologic glue instead of cutting it out.

Hospitals typically charge $2,196 cash for this outpatient procedure — the median across 353 hospitals that filed a usable cash price; the average of the middle 60% is $2,050. Most fall between $361 and $4,554 (20th–80th percentile).

Hospitals
353
States
42
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 353 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
$274$433$2,196$3,817$6,396

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($274 vs $6,396).

How the prices are spread

$155 – $233: 13 hospitals$155$233 – $349: 38 hospitals$349 – $524: 46 hospitals$349$524 – $785: 29 hospitals$785 – $1,177: 18 hospitals$785$1,177 – $1,764: 12 hospitals$1,764 – $2,645: 10 hospitals$1,764$2,645 – $3,965: 86 hospitals$3,965 – $5,943: 39 hospitals$3,965$5,943 – $8,910: 45 hospitals$5,943median $2,196price bands are equal on a log scale
Hospitals per price band (336 of 353 — the bands cover the 5th to 95th percentile)
FromToHospitals
$155$23313
$233$34938
$349$52446
$524$78529
$785$1,17718
$1,177$1,76412
$1,764$2,64510
$2,645$3,96586
$3,965$5,94339
$5,943$8,91045

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,196
Cash as a multiple of Medicare0.77×

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 $2,196.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 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: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $994 across 22 hospitalsIL$994Wisconsin: median $1,131 across 27 hospitalsWI$1,131Michigan: median $1,254 across 18 hospitalsMI$1,254New York: median $3,245 across 22 hospitalsNY$3,245Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $428 across 11 hospitalsOR$428Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $433 across 17 hospitalsIA$433Indiana: no hospital in the corpus filed a usable priceINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,086 across 19 hospitalsPA$2,086New Jersey: median $3,659 across 28 hospitalsNJ$3,659Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,910 across 30 hospitalsCA$8,910Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 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 $296 across 13 hospitalsOK$296Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,228 across 37 hospitalsTX$3,228Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,196. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$8,910+306%$2,196 – $8,910
New Jersey NJ28$3,659+67%$3,035 – $5,339
New York NY22$3,245+48%$550 – $3,295
Texas TX37$3,228+47%$2,914 – $3,228
Pennsylvania PA19$2,086−5%$112 – $4,637
Michigan MI18$1,254−43%$336 – $3,817
Wisconsin WI27$1,131−48%$751 – $1,179
Illinois IL22$994−55%$333 – $6,136
Iowa IA17$433−80%$433 – $433
Oregon OR11$428−81%$335 – $494
Oklahoma OK13$296−87%$296 – $5,591
North Carolina NC8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,196.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care290$2,914$361 – $4,609
Children’s7fewer than 20 hospitals
Critical access53$751$358 – $1,185
Ownership
For-profit36$2,914$431 – $4,609
Government45$1,163$336 – $3,245
Non-profit269$1,882$381 – $4,609
System affiliation
Part of a system298$2,914$412 – $4,609
Independent55$486$292 – $2,753

Cash price vs list price

Median list price (chargemaster)$1,310
Median cash price$2,196
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

227 hospitals filed a usable inpatient cash price for this code. The median is $1,332 and the average of the middle 60% is $1,832; most fall between $335 and $4,259.

Cash price percentiles, inpatient, across 227 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
$233$407$1,332$3,915$7,189

The most expensive tenth of hospitals charges at least 31× what the cheapest tenth charges ($233 vs $7,189).

Of the 239 hospitals that filed this code inpatient, 227 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

353 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 382 hospitals that filed this code at all gave us
Usable cash price — counted353
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded5
Hospitals that filed this code382

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as PR Repair of Anal Fistula W/Fibrin Glue.

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, “Anal fistula repair with fibrin glue (CPT 46706) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46706-anal-fistula-repair-with-fibrin-glue