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

Unlisted procedure on the anus

CPT 46999the billing code this page is about

Used when an anal procedure has no specific billing code of its own; the operative report describes what was done.

Hospitals typically charge $1,337 cash for this outpatient procedure — the median across 1,032 hospitals that filed a usable cash price; the average of the middle 60% is $1,431. Most fall between $587 and $3,090 (20th–80th percentile).

Hospitals
1,032
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 1,032 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
$330$665$1,337$2,396$5,708

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($330 vs $5,708).

How the prices are spread

$210 – $305: 45 hospitals$210$305 – $442: 60 hospitals$442 – $641: 80 hospitals$442$641 – $929: 116 hospitals$929 – $1,346: 166 hospitals$929$1,346 – $1,951: 182 hospitals$1,951 – $2,827: 115 hospitals$1,951$2,827 – $4,098: 51 hospitals$4,098 – $5,939: 82 hospitals$4,098$5,939 – $8,607: 33 hospitals$5,939median $1,337price bands are equal on a log scale
Hospitals per price band (930 of 1,032 — the bands cover the 5th to 95th percentile)
FromToHospitals
$210$30545
$305$44260
$442$64180
$641$929116
$929$1,346166
$1,346$1,951182
$1,951$2,827115
$2,827$4,09851
$4,098$5,93982
$5,939$8,60733

Against Medicare

Medicare pays (OPPS 2026, national rate)$950
Median cash price$1,337
Cash as a multiple of Medicare1.41×

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 $1,337.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,572 across 32 hospitalsWA$1,572Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $1,042 across 10 hospitalsMT$1,042North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $587 across 22 hospitalsMN$587Illinois: median $1,686 across 36 hospitalsIL$1,686Wisconsin: median $663 across 33 hospitalsWI$663Michigan: median $1,770 across 37 hospitalsMI$1,770New York: median $1,585 across 53 hospitalsNY$1,585Massachusetts: median $1,386 across 15 hospitalsMA$1,386Oregon: median $1,499 across 31 hospitalsOR$1,499Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $640 across 34 hospitalsIA$640Indiana: median $1,508 across 14 hospitalsIN$1,508Ohio: median $1,502 across 66 hospitalsOH$1,502Pennsylvania: median $1,295 across 49 hospitalsPA$1,295New Jersey: median $2,472 across 39 hospitalsNJ$2,472Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,654 across 82 hospitalsCA$1,654Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $648 across 14 hospitalsCO$648Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $793 across 29 hospitalsMO$793Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,167 across 15 hospitalsWV$1,167Virginia: median $1,805 across 32 hospitalsVA$1,805Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $498 across 20 hospitalsKS$498Arkansas: median $2,331 across 10 hospitalsAR$2,331Tennessee: median $634 across 19 hospitalsTN$634North Carolina: median $1,075 across 10 hospitalsNC$1,075South Carolina: median $1,481 across 24 hospitalsSC$1,481Oklahoma: 7 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $1,926 across 17 hospitalsLA$1,926Mississippi: median $374 across 17 hospitalsMS$374Alabama: median $2,542 across 11 hospitalsAL$2,542Georgia: median $2,175 across 21 hospitalsGA$2,175Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $943 across 81 hospitalsTX$943Florida: median $2,397 across 47 hospitalsFL$2,397
Cash price by state, most expensive first. National median $1,337. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alabama AL11$2,542+90%$224 – $8,485
New Jersey NJ39$2,472+85%$1,010 – $4,881
Florida FL47$2,397+79%$599 – $4,850
Arkansas AR10$2,331+74%$362 – $5,356
Georgia GA21$2,175+63%$928 – $5,778
Louisiana LA17$1,926+44%$643 – $4,511
Virginia VA32$1,805+35%$751 – $4,580
Michigan MI37$1,770+32%$1,091 – $2,677
Illinois IL36$1,686+26%$495 – $5,708
California CA82$1,654+24%$937 – $4,091
New York NY53$1,585+19%$1,079 – $4,595
Washington WA32$1,572+18%$615 – $2,090
Indiana IN14$1,508+13%$599 – $7,680
Ohio OH66$1,502+12%$953 – $3,141
Oregon OR31$1,499+12%$466 – $2,284
South Carolina SC24$1,481+11%$1,117 – $2,693
Massachusetts MA15$1,386+4%$68 – $1,808
Pennsylvania PA49$1,295−3%$667 – $2,348
West Virginia WV15$1,167−13%$332 – $2,333
North Carolina NC10$1,075−20%$578 – $2,957
Montana MT10$1,042−22%$360 – $1,553
Texas TX81$943−29%$745 – $1,681
Missouri MO29$793−41%$278 – $2,542
Wisconsin WI33$663−50%$359 – $1,480
Colorado CO14$648−52%$273 – $1,829
Iowa IA34$640−52%$337 – $1,415
Tennessee TN19$634−53%$212 – $4,033
Minnesota MN22$587−56%$348 – $2,865
Kansas KS20$498−63%$335 – $942
Mississippi MS17$374−72%$207 – $968
Alaska AK9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Oklahoma OK7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not 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 $1,337.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care820$1,502$667 – $3,587
Children’s9fewer than 20 hospitals
Critical access201$811$333 – $1,770
Ownership
For-profit99$1,932$830 – $6,416
Government179$838$380 – $2,010
Non-profit752$1,480$612 – $2,879
System affiliation
Part of a system854$1,480$612 – $3,171
Independent178$915$389 – $2,379

Cash price vs list price

Median list price (chargemaster)$2,218
Median cash price$1,337
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

640 hospitals filed a usable inpatient cash price for this code. The median is $1,197 and the average of the middle 60% is $1,280; most fall between $555 and $2,251.

Cash price percentiles, inpatient, across 640 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
$288$642$1,197$1,903$2,693

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($288 vs $2,693).

Of the 707 hospitals that filed this code inpatient, 640 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,032 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,145 hospitals that filed this code at all gave us
Usable cash price — counted1,032
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
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 — excluded58
Hospitals that filed this code1,145

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 Other non-OR lower GI therapeutic procedures family.

Hospitals file this code under descriptions such as PR Core Needle Anal Biopsy C/T 10021.

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, “Unlisted procedure on the anus (CPT 46999) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46999-unlisted-procedure-on-the-anus