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Procedure price report · Other OR lower GI therapeutic procedures

Anal fistula repair with a plug

CPT 46707the billing code this page is about

Sealing of an abnormal tunnel between the rectum or anus and nearby skin by placing a plug of graft material into the tract.

Hospitals typically charge $2,086 cash for this outpatient procedure — the median across 342 hospitals that filed a usable cash price; the average of the middle 60% is $2,653. Most fall between $825 and $5,320 (20th–80th percentile).

Hospitals
342
States
46
Filings dated
Jan 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 342 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
$559$909$2,086$4,678$6,425

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($559 vs $6,425).

How the prices are spread

$385 – $518: 10 hospitals$385$518 – $697: 22 hospitals$697 – $938: 40 hospitals$697$938 – $1,263: 43 hospitals$1,263 – $1,699: 30 hospitals$1,263$1,699 – $2,287: 9 hospitals$2,287 – $3,077: 19 hospitals$2,287$3,077 – $4,141: 43 hospitals$4,141 – $5,573: 62 hospitals$4,141$5,573 – $7,500: 30 hospitals$5,573median $2,086price bands are equal on a log scale
Hospitals per price band (308 of 342 — the bands cover the 5th to 95th percentile)
FromToHospitals
$385$51810
$518$69722
$697$93840
$938$1,26343
$1,263$1,69930
$1,699$2,2879
$2,287$3,07719
$3,077$4,14143
$4,141$5,57362
$5,573$7,50030

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$2,086
Cash as a multiple of Medicare0.74×

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 $2,086.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $947 across 16 hospitalsIL$947Wisconsin: median $4,607 across 10 hospitalsWI$4,607Michigan: median $688 across 24 hospitalsMI$688New York: median $3,245 across 24 hospitalsNY$3,245Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,109 across 13 hospitalsOR$1,109Nevada: 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 $1,214 across 15 hospitalsIA$1,214Indiana: no hospital in the corpus filed a usable priceINOhio: median $2,060 across 11 hospitalsOH$2,060Pennsylvania: median $730 across 20 hospitalsPA$730New Jersey: median $3,659 across 29 hospitalsNJ$3,659Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,320 across 36 hospitalsCA$5,320Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,379 across 10 hospitalsCO$1,379Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 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: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $825 across 12 hospitalsOK$825Louisiana: 5 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 $4,678 across 19 hospitalsTX$4,678Florida: median $2,490 across 10 hospitalsFL$2,490
Cash price by state, most expensive first. National median $2,086. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA36$5,320+155%$4,787 – $5,320
Texas TX19$4,678+124%$3,712 – $4,678
Wisconsin WI10$4,607+121%$3,498 – $4,607
New Jersey NJ29$3,659+75%$3,035 – $5,339
New York NY24$3,245+56%$1,404 – $3,295
Florida FL10$2,490+19%$1,661 – $11,200
Ohio OH11$2,060−1%$1,661 – $5,138
Colorado CO10$1,379−34%$935 – $1,379
Iowa IA15$1,214−42%$1,214 – $1,214
Oregon OR13$1,109−47%$939 – $1,396
Illinois IL16$947−55%$385 – $6,425
Oklahoma OK12$825−60%$825 – $825
Pennsylvania PA20$730−65%$314 – $4,259
Michigan MI24$688−67%$559 – $3,817
Tennessee TN8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not 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 $2,086.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care287$3,035$825 – $5,320
Children’s7fewer than 20 hospitals
Critical access47$1,137$730 – $4,607
Ownership
For-profit30$1,850$656 – $6,003
Government49$1,399$866 – $3,245
Non-profit262$2,580$825 – $5,320
System affiliation
Part of a system289$3,035$825 – $5,320
Independent53$1,404$894 – $3,388

Cash price vs list price

Median list price (chargemaster)$1,884
Median cash price$2,086
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

196 hospitals filed a usable inpatient cash price for this code. The median is $1,379 and the average of the middle 60% is $2,484; most fall between $825 and $5,320.

Cash price percentiles, inpatient, across 196 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
$524$891$1,379$5,320$6,425

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($524 vs $6,425).

Of the 214 hospitals that filed this code inpatient, 196 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 8 a list price only.

How complete is this

342 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 377 hospitals that filed this code at all gave us
Usable cash price — counted342
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded7
Hospitals that filed this code377

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 OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as Repair Anorectal Fistula Plug.

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 a plug (CPT 46707) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46707-anal-fistula-repair-with-a-plug