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Procedure price report · Hemorrhoid procedures

Tying off internal hemorrhoids, one group, no rubber band

CPT 46945the billing code this page is about

Surgery that ties off a single column or group of internal hemorrhoids using a method other than rubber band ligation.

Hospitals typically charge $1,825 cash for this outpatient procedure — the median across 831 hospitals that filed a usable cash price; the average of the middle 60% is $2,053. Most fall between $511 and $4,627 (20th–80th percentile).

Hospitals
831
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 831 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
$343$594$1,825$3,744$6,451

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($343 vs $6,451).

How the prices are spread

$267 – $376: 56 hospitals$267$376 – $529: 76 hospitals$529 – $745: 85 hospitals$529$745 – $1,049: 95 hospitals$1,049 – $1,476: 29 hospitals$1,049$1,476 – $2,078: 46 hospitals$2,078 – $2,926: 75 hospitals$2,078$2,926 – $4,119: 146 hospitals$4,119 – $5,798: 86 hospitals$4,119$5,798 – $8,162: 55 hospitals$5,798median $1,825price bands are equal on a log scale
Hospitals per price band (749 of 831 — the bands cover the 5th to 95th percentile)
FromToHospitals
$267$37656
$376$52976
$529$74585
$745$1,04995
$1,049$1,47629
$1,476$2,07846
$2,078$2,92675
$2,926$4,119146
$4,119$5,79886
$5,798$8,16255

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$1,825
Cash as a multiple of Medicare0.64×

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 $1,825.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,177 across 34 hospitalsWA$2,177Idaho: median $2,447 across 12 hospitalsID$2,447Montana: median $725 across 11 hospitalsMT$725North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $876 across 30 hospitalsMN$876Illinois: median $676 across 33 hospitalsIL$676Wisconsin: median $1,825 across 35 hospitalsWI$1,825Michigan: median $380 across 34 hospitalsMI$380New York: median $2,836 across 40 hospitalsNY$2,836Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $954 across 33 hospitalsOR$954Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $825 across 30 hospitalsIA$825Indiana: median $461 across 13 hospitalsIN$461Ohio: median $3,491 across 31 hospitalsOH$3,491Pennsylvania: median $2,236 across 42 hospitalsPA$2,236New Jersey: median $3,659 across 33 hospitalsNJ$3,659Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,744 across 76 hospitalsCA$3,744Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $758 across 11 hospitalsCO$758Nebraska: median $676 across 12 hospitalsNE$676Missouri: median $2,769 across 17 hospitalsMO$2,769Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $759 across 12 hospitalsWV$759Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $3,279 across 10 hospitalsNM$3,279Kansas: median $487 across 15 hospitalsKS$487Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $503 across 10 hospitalsTN$503North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $554 across 12 hospitalsOK$554Louisiana: median $2,001 across 13 hospitalsLA$2,001Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $3,466 across 10 hospitalsAL$3,466Georgia: median $4,674 across 26 hospitalsGA$4,674Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,814 across 57 hospitalsTX$2,814Florida: median $5,460 across 14 hospitalsFL$5,460
Cash price by state, most expensive first. National median $1,825. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL14$5,460+199%$1,690 – $10,250
Georgia GA26$4,674+156%$3,599 – $6,653
California CA76$3,744+105%$1,298 – $4,648
New Jersey NJ33$3,659+100%$3,038 – $5,741
Ohio OH31$3,491+91%$280 – $5,081
Alabama AL10$3,466+90%$428 – $7,148
New Mexico NM10$3,279+80%$1,833 – $4,000
New York NY40$2,836+55%$506 – $3,295
Texas TX57$2,814+54%$1,779 – $3,690
Missouri MO17$2,769+52%$448 – $4,907
Idaho ID12$2,447+34%$775 – $7,189
Pennsylvania PA42$2,236+23%$246 – $4,637
Washington WA34$2,177+19%$570 – $3,903
Louisiana LA13$2,001+10%$1,161 – $4,431
Wisconsin WI35$1,8250%$822 – $2,213
Oregon OR33$954−48%$632 – $6,605
Minnesota MN30$876−52%$493 – $1,918
Iowa IA30$825−55%$499 – $853
West Virginia WV12$759−58%$362 – $3,292
Colorado CO11$758−58%$602 – $2,692
Montana MT11$725−60%$546 – $1,041
Nebraska NE12$676−63%$476 – $1,040
Illinois IL33$676−63%$328 – $3,802
Oklahoma OK12$554−70%$554 – $554
Tennessee TN10$503−72%$270 – $4,752
Kansas KS15$487−73%$254 – $843
Indiana IN13$461−75%$328 – $1,279
Michigan MI34$380−79%$312 – $2,675
Alaska AK9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,825.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care608$2,836$593 – $4,674
Children’s8fewer than 20 hospitals
Critical access214$725$434 – $1,825
Ownership
For-profit73$2,932$554 – $4,999
Government166$853$500 – $3,465
Non-profit591$2,043$523 – $4,648
System affiliation
Part of a system643$2,600$554 – $4,648
Independent188$791$466 – $2,963

Cash price vs list price

Median list price (chargemaster)$2,808
Median cash price$1,825
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

488 hospitals filed a usable inpatient cash price for this code. The median is $1,825 and the average of the middle 60% is $1,975; most fall between $490 and $4,583.

Cash price percentiles, inpatient, across 488 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
$328$554$1,825$3,744$5,566

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($328 vs $5,566).

Of the 533 hospitals that filed this code inpatient, 488 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

831 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 908 hospitals that filed this code at all gave us
Usable cash price — counted831
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
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 — excluded28
Hospitals that filed this code908

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 Hemorrhoid procedures family.

Hospitals file this code under descriptions such as Int Hrhc by Ligation Single Hroid W/O Img Gdn.

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, “Tying off internal hemorrhoids, one group, no rubber band (CPT 46945) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46945-tying-off-internal-hemorrhoids-one-group-no-rubber-band