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Procedure price report · Hemorrhoid procedures

Internal hemorrhoid artery tie-off, two or more groups

CPT 46948the billing code this page is about

Surgery performed through the anus that ties off the arteries feeding two or more groups of internal hemorrhoids, including ultrasound guidance and lifting of tissue when done.

Hospitals typically charge $3,065 cash for this outpatient procedure — the median across 367 hospitals that filed a usable cash price; the average of the middle 60% is $3,043. Most fall between $815 and $6,552 (20th–80th percentile).

Hospitals
367
States
45
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 367 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
$656$995$3,065$5,419$8,803

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($656 vs $8,803).

How the prices are spread

$455 – $632: 17 hospitals$455$632 – $880: 52 hospitals$880 – $1,225: 18 hospitals$880$1,225 – $1,704: 35 hospitals$1,704 – $2,372: 19 hospitals$1,704$2,372 – $3,300: 44 hospitals$3,300 – $4,593: 50 hospitals$3,300$4,593 – $6,391: 40 hospitals$6,391 – $8,894: 38 hospitals$6,391$8,894 – $12,376: 22 hospitals$8,894median $3,065price bands are equal on a log scale
Hospitals per price band (335 of 367 — the bands cover the 5th to 95th percentile)
FromToHospitals
$455$63217
$632$88052
$880$1,22518
$1,225$1,70435
$1,704$2,37219
$2,372$3,30044
$3,300$4,59350
$4,593$6,39140
$6,391$8,89438
$8,894$12,37622

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,836
Median cash price$3,065
Cash as a multiple of Medicare1.08×

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 $3,065.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,138 across 23 hospitalsIL$1,138Wisconsin: median $2,262 across 22 hospitalsWI$2,262Michigan: median $594 across 24 hospitalsMI$594New York: median $3,245 across 26 hospitalsNY$3,245Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $246 across 18 hospitalsPA$246New Jersey: median $3,986 across 28 hospitalsNJ$3,986Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,847 across 45 hospitalsCA$3,847Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: median $4,347 across 11 hospitalsVA$4,347Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 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: median $12,325 across 15 hospitalsSC$12,325Oklahoma: median $726 across 13 hospitalsOK$726Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,952 across 29 hospitalsTX$4,952Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,065. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC15$12,325+302%$2,600 – $12,325
Texas TX29$4,952+62%$2,403 – $5,421
Virginia VA11$4,347+42%$4,347 – $4,347
New Jersey NJ28$3,986+30%$3,038 – $5,339
California CA45$3,847+25%$1,269 – $8,803
New York NY26$3,245+6%$1,310 – $3,465
Wisconsin WI22$2,262−26%$2,262 – $4,181
Illinois IL23$1,138−63%$744 – $7,496
Oklahoma OK13$726−76%$726 – $4,818
Michigan MI24$594−81%$506 – $3,817
Pennsylvania PA18$246−92%$210 – $5,610
Florida FL9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Mississippi MS2not 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
Wyoming WY2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $3,065.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care306$3,245$818 – $7,496
Children’s1fewer than 20 hospitals
Critical access60$1,347$744 – $4,181
Ownership
For-profit30$2,600$744 – $7,782
Government43$3,245$995 – $6,600
Non-profit294$3,035$760 – $5,906
System affiliation
Part of a system314$3,245$818 – $6,600
Independent53$1,193$678 – $5,183

Cash price vs list price

Median list price (chargemaster)$3,480
Median cash price$3,065
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

224 hospitals filed a usable inpatient cash price for this code. The median is $2,262 and the average of the middle 60% is $2,733; most fall between $726 and $7,189.

Cash price percentiles, inpatient, across 224 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
$586$744$2,262$5,421$8,803

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($586 vs $8,803).

Of the 245 hospitals that filed this code inpatient, 224 gave a usable cash price; 13 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

367 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 405 hospitals that filed this code at all gave us
Usable cash price — counted367
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded4
Hospitals that filed this code405

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 Transanal Hroid Dartlzj 2+ W/US 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, “Internal hemorrhoid artery tie-off, two or more groups (CPT 46948) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46948-internal-hemorrhoid-artery-tie-off-two-or-more-groups