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

Scraping or cautery of an anal fissure, first treatment

CPT 46940the billing code this page is about

Initial treatment of a tear in the anal lining by scraping or burning it, including stretching of the anal muscle; billed as a standalone procedure.

Hospitals typically charge $1,024 cash for this outpatient procedure — the median across 398 hospitals that filed a usable cash price; the average of the middle 60% is $1,877. Most fall between $347 and $4,935 (20th–80th percentile).

Hospitals
398
States
45
Filings dated
Mar 2023 – 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 398 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
$219$399$1,024$3,659$7,807

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($219 vs $7,807).

How the prices are spread

$153 – $230: 22 hospitals$153$230 – $345: 37 hospitals$345 – $518: 46 hospitals$345$518 – $778: 54 hospitals$778 – $1,168: 31 hospitals$778$1,168 – $1,754: 4 hospitals$1,754 – $2,633: 10 hospitals$1,754$2,633 – $3,953: 83 hospitals$3,953 – $5,935: 35 hospitals$3,953$5,935 – $8,910: 46 hospitals$5,935median $1,024price bands are equal on a log scale
Hospitals per price band (368 of 398 — the bands cover the 5th to 95th percentile)
FromToHospitals
$153$23022
$230$34537
$345$51846
$518$77854
$778$1,16831
$1,168$1,7544
$1,754$2,63310
$2,633$3,95383
$3,953$5,93535
$5,935$8,91046

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,024
Cash as a multiple of Medicare0.36×

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 $1,024.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 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 $483 across 10 hospitalsWA$483Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $361 across 17 hospitalsIL$361Wisconsin: median $1,024 across 22 hospitalsWI$1,024Michigan: median $394 across 16 hospitalsMI$394New York: median $3,245 across 32 hospitalsNY$3,245Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $561 across 12 hospitalsOR$561Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $607 across 20 hospitalsIA$607Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $611 across 13 hospitalsOH$611Pennsylvania: median $257 across 20 hospitalsPA$257New Jersey: median $3,659 across 30 hospitalsNJ$3,659Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,910 across 43 hospitalsCA$8,910Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: median $248 across 11 hospitalsWV$248Virginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $240 across 14 hospitalsOK$240Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,944 across 19 hospitalsTX$2,944Florida: median $7,807 across 10 hospitalsFL$7,807
Cash price by state, most expensive first. National median $1,024. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA43$8,910+770%$3,640 – $8,910
Florida FL10$7,807+662%$611 – $7,807
New Jersey NJ30$3,659+257%$3,035 – $5,110
New York NY32$3,245+217%$589 – $3,465
Texas TX19$2,944+187%$2,944 – $2,944
Wisconsin WI22$1,0240%$937 – $1,024
Ohio OH13$611−40%$219 – $2,613
Iowa IA20$607−41%$417 – $607
Oregon OR12$561−45%$483 – $756
Washington WA10$483−53%$276 – $3,205
Michigan MI16$394−61%$288 – $3,817
Illinois IL17$361−65%$183 – $1,019
Pennsylvania PA20$257−75%$90 – $4,259
West Virginia WV11$248−76%$153 – $559
Oklahoma OK14$240−77%$240 – $5,591
Alabama AL7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not 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 $1,024.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care319$2,944$361 – $5,507
Children’s4fewer than 20 hospitals
Critical access75$564$261 – $1,024
Ownership
For-profit36$2,848$358 – $5,654
Government66$578$304 – $3,245
Non-profit296$1,024$361 – $4,935
System affiliation
Part of a system324$2,511$394 – $5,507
Independent74$485$260 – $2,637

Cash price vs list price

Median list price (chargemaster)$940
Median cash price$1,024
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

239 hospitals filed a usable inpatient cash price for this code. The median is $710 and the average of the middle 60% is $1,668; most fall between $267 and $5,507.

Cash price percentiles, inpatient, across 239 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
$204$347$710$3,640$8,424

The most expensive tenth of hospitals charges at least 41× what the cheapest tenth charges ($204 vs $8,424).

Of the 254 hospitals that filed this code inpatient, 239 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 5 a list price only.

How complete is this

398 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 423 hospitals that filed this code at all gave us
Usable cash price — counted398
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded5
Hospitals that filed this code423

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 Curtg/Caut Anal Fissure W/Dilat Sphnctr Spx 1st.

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, “Scraping or cautery of an anal fissure, first treatment (CPT 46940) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46940-scraping-or-cautery-of-an-anal-fissure-first-treatment