Price AtlasInteractive atlas · All states · techysurgeon.comAnal fistula surgery: what insurers pay
Opening an anal fistula tract (fistulotomy). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 46270: Anal Fistula Surgery
1136 hospitals in 78 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 12 | $3,045 | $3,582 | $4,092 | $2,570–$7,171 |
| Alaska (statewide) | 3 | — | — | — | $3,786–$15,112 |
| Arizona (statewide) | 9 | $3,418 | $3,965 | $4,465 | $2,766–$6,732 |
| Arkansas (statewide) | 11 | $2,097 | $2,482 | $2,610 | $1,577–$4,000 |
| Atlanta GA | 6 | $4,975 | $4,975 | $5,600 | $4,975–$5,809 |
| Austin TX | 13 | $2,250 | $4,364 | $4,863 | $2,250–$5,242 |
| Boston MA | 12 | $4,123 | $4,505 | $5,187 | $2,498–$7,500 |
| California (statewide) | 64 | $4,504 | $7,208 | $10,377 | $2,133–$12,766 |
| Charlotte NC | 5 | $3,260 | $3,260 | $3,260 | $3,216–$3,260 |
| Chicago IL | 8 | $4,238 | $5,266 | $7,231 | $3,751–$7,295 |
| Cleveland OH | 11 | $3,254 | $3,902 | $5,100 | $2,889–$6,438 |
| Colorado (statewide) | 15 | $3,181 | $4,589 | $5,552 | $1,616–$9,563 |
| Columbus OH | 2 | — | — | — | $9,983–$9,983 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$11,565 |
| Dallas-Fort Worth TX | 12 | $5,154 | $5,419 | $6,171 | $4,572–$10,051 |
| Denver CO | 15 | $2,574 | $5,182 | $5,736 | $1,691–$7,183 |
| Detroit MI | 16 | $2,846 | $3,347 | $3,805 | $1,594–$5,812 |
| Florida (statewide) | 63 | $4,452 | $5,491 | $7,323 | $1,550–$13,250 |
| Georgia (statewide) | 30 | $3,082 | $5,013 | $5,809 | $1,900–$16,285 |
| Hawaii (statewide) | 4 | — | — | — | $3,493–$6,463 |
| Houston TX | 19 | $4,198 | $4,425 | $4,595 | $3,691–$5,298 |
| Idaho (statewide) | 15 | $2,773 | $4,312 | $6,966 | $1,459–$10,448 |
| Illinois (statewide) | 28 | $3,462 | $3,966 | $6,521 | $2,681–$8,147 |
| Indiana (statewide) | 28 | $3,536 | $4,405 | $6,314 | $1,905–$9,896 |
| Iowa (statewide) | 19 | $3,270 | $4,214 | $5,346 | $1,446–$8,645 |
| Kansas (statewide) | 19 | $2,893 | $3,428 | $5,122 | $1,976–$15,112 |
| Kentucky (statewide) | 14 | $3,347 | $3,827 | $4,248 | $2,152–$5,710 |
| Las Vegas NV | 2 | — | — | — | $2,586–$3,010 |
| Los Angeles CA | 17 | $5,175 | $6,161 | $8,032 | $4,428–$20,636 |
| Louisiana (statewide) | 23 | $2,588 | $3,214 | $3,968 | $1,743–$9,240 |
| Maine (statewide) | 16 | $11,237 | $12,753 | $13,046 | $2,939–$16,402 |
| Maryland (statewide) | 1 | — | — | — | $3,561–$3,561 |
| Massachusetts (statewide) | 8 | $2,628 | $3,564 | $4,104 | $2,382–$4,273 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,584–$5,584 |
| Michigan (statewide) | 27 | $2,704 | $3,048 | $3,954 | $1,433–$4,785 |
| Minneapolis-St. Paul MN | 9 | $3,699 | $3,924 | $4,518 | $2,167–$5,903 |
| Minnesota (statewide) | 12 | $4,922 | $7,350 | $8,714 | $1,543–$10,381 |
| Mississippi (statewide) | 17 | $1,706 | $4,078 | $4,397 | $1,562–$7,570 |
| Missouri (statewide) | 17 | $3,722 | $5,021 | $6,262 | $1,634–$6,897 |
| Montana (statewide) | 6 | $5,643 | $5,970 | $7,500 | $3,428–$8,384 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,078 | $1,869–$5,653 |
| Nebraska (statewide) | 13 | $2,586 | $8,458 | $8,645 | $1,446–$18,020 |
| Nevada (statewide) | 5 | $2,460 | $2,586 | $5,283 | $2,460–$6,483 |
| New Hampshire (statewide) | 6 | $8,450 | $8,907 | $10,777 | $6,251–$12,430 |
| New Jersey (statewide) | 23 | $4,084 | $7,200 | $7,984 | $3,182–$11,208 |
| New Mexico (statewide) | 8 | $4,825 | $7,202 | $9,394 | $1,939–$13,023 |
| New York (statewide) | 33 | $3,205 | $4,660 | $6,181 | $1,813–$9,883 |
| New York City | 8 | $3,205 | $3,370 | $5,169 | $3,205–$8,726 |
| North Carolina (statewide) | 5 | $6,331 | $6,875 | $7,358 | $3,928–$9,044 |
| North Dakota (statewide) | 5 | $4,958 | $5,000 | $6,415 | $4,744–$8,002 |
| Ohio (statewide) | 39 | $3,380 | $6,012 | $8,095 | $1,582–$10,668 |
| Oklahoma (statewide) | 10 | $4,126 | $5,908 | $6,841 | $1,861–$11,455 |
| Oregon (statewide) | 9 | $7,022 | $7,902 | $10,189 | $3,117–$12,743 |
| Pennsylvania (statewide) | 33 | $3,530 | $6,413 | $8,195 | $2,134–$12,275 |
| Philadelphia PA | 11 | $4,551 | $4,689 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,111 | $3,169 | $3,231 | $2,936–$3,418 |
| Pittsburgh PA | 8 | $3,328 | $4,316 | $5,678 | $1,931–$6,902 |
| Portland OR | 9 | $10,273 | $10,273 | $11,516 | $9,761–$11,516 |
| Rhode Island (statewide) | 4 | — | — | — | $3,726–$8,778 |
| Richmond VA | 3 | — | — | — | $6,342–$7,051 |
| Rio Grande Valley TX | 5 | $3,607 | $4,292 | $5,830 | $3,607–$5,830 |
| Salt Lake City UT | 9 | $3,206 | $3,206 | $3,206 | $2,556–$3,206 |
| San Antonio TX | 3 | — | — | — | $3,556–$4,807 |
| San Diego CA | 6 | $6,069 | $6,069 | $6,128 | $6,069–$6,583 |
| San Francisco Bay Area CA | 6 | $6,805 | $7,173 | $8,288 | $5,788–$22,041 |
| Seattle-Tacoma WA | 16 | $7,146 | $7,896 | $8,232 | $5,464–$10,032 |
| South Carolina (statewide) | 19 | $8,158 | $10,258 | $13,952 | $3,976–$14,603 |
| South Dakota (statewide) | 5 | $5,223 | $5,319 | $5,373 | $3,490–$16,064 |
| St. Louis MO | 4 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $8,201 | $8,201 | $8,201 | $3,812–$10,426 |
| Tennessee (statewide) | 24 | $2,690 | $3,218 | $3,802 | $2,218–$5,813 |
| Texas (statewide) | 77 | $3,189 | $4,595 | $5,023 | $1,990–$9,883 |
| Utah (statewide) | 7 | $2,556 | $2,798 | $3,206 | $1,523–$3,206 |
| Virginia (statewide) | 19 | $7,208 | $8,158 | $9,130 | $4,936–$11,260 |
| Washington (statewide) | 13 | $5,699 | $7,320 | $8,692 | $2,340–$15,277 |
| Washington DC | 10 | $5,055 | $5,500 | $5,689 | $4,169–$5,689 |
| West Virginia (statewide) | 7 | $4,236 | $4,675 | $10,063 | $3,044–$18,479 |
| Wisconsin (statewide) | 41 | $4,959 | $6,766 | $7,250 | $1,599–$10,464 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Holland Hospital | Michigan (statewide) | $1,433 | 0.5× | 3 | 2026-09-21 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $1,433 | 0.5× | 1 | 2026-09-02 |
| Chi Health - Mercy Corning | Iowa (statewide) | $1,446 | 0.5× | 10 | 2026-02-28 |
| Chi Health Missouri Valley | Iowa (statewide) | $1,446 | 0.5× | 10 | 2026-02-28 |
| Chi Health Schuyler | Nebraska (statewide) | $1,446 | 0.5× | 10 | 2026-02-28 |
| Chi Health Plainview | Nebraska (statewide) | $1,446 | 0.5× | 9 | 2026-02-28 |
| Chi Health St Mary'S | Nebraska (statewide) | $1,446 | 0.5× | 7 | 2026-02-28 |
| Syringa General Hospital | Idaho (statewide) | $1,459 | 0.5× | 1 | 2026-08-21 |
| Blue Mountain Hospital | Utah (statewide) | $1,523 | 0.5× | 1 | 2026-09-01 |
| Ely - Bloomenson Community Hospital | Minnesota (statewide) | $1,543 | 0.5× | 1 | 2026-09-01 |
| Baptist Hospital | Florida (statewide) | $1,550 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,550 | 0.5× | 8 | 2025-12-23 |
| Providence Medical Center | Kansas (statewide) | $15,112 | 5.8× | 2 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $15,277 | 4.9× | 4 | 2026-04-01 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $16,064 | 5.7× | 2 | 2026-09-10 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $16,285 | 6.1× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $16,285 | 6.7× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $16,402 | 6.0× | 1 | 2025-09-09 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 6.3× | 6 | 2026-02-28 |
| Logan Regional Medical Center | West Virginia (statewide) | $18,479 | 6.9× | 1 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.4× | 3 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 46275: Anal Fistula Surgery
1063 hospitals in 78 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $3,012 | $3,492 | $4,134 | $2,570–$7,171 |
| Alaska (statewide) | 3 | — | — | — | $4,016–$15,112 |
| Arizona (statewide) | 8 | $2,884 | $3,692 | $4,352 | $1,860–$6,047 |
| Arkansas (statewide) | 6 | $2,210 | $2,762 | $3,488 | $2,018–$4,000 |
| Atlanta GA | 6 | $4,975 | $4,975 | $5,600 | $4,975–$5,809 |
| Austin TX | 13 | $2,250 | $4,364 | $4,863 | $2,250–$5,242 |
| Boston MA | 11 | $4,074 | $4,477 | $5,020 | $2,498–$5,866 |
| California (statewide) | 61 | $4,618 | $8,092 | $10,377 | $2,133–$12,766 |
| Charlotte NC | 5 | $3,260 | $3,260 | $3,260 | $3,216–$3,260 |
| Chicago IL | 9 | $4,200 | $4,897 | $7,210 | $3,751–$7,295 |
| Cleveland OH | 11 | $3,140 | $3,746 | $4,503 | $2,453–$6,438 |
| Colorado (statewide) | 14 | $3,030 | $4,774 | $5,759 | $1,562–$9,563 |
| Columbus OH | 1 | — | — | — | $9,983–$9,983 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$11,565 |
| Dallas-Fort Worth TX | 12 | $5,154 | $5,419 | $6,171 | $4,572–$10,051 |
| Denver CO | 15 | $2,574 | $5,182 | $5,736 | $1,691–$7,183 |
| Detroit MI | 14 | $3,347 | $3,347 | $3,878 | $2,436–$5,812 |
| Florida (statewide) | 60 | $4,768 | $5,582 | $7,422 | $1,550–$13,250 |
| Georgia (statewide) | 27 | $3,648 | $5,400 | $5,809 | $1,900–$16,285 |
| Hawaii (statewide) | 4 | — | — | — | $3,493–$6,463 |
| Houston TX | 19 | $4,198 | $4,425 | $4,595 | $3,691–$5,298 |
| Idaho (statewide) | 13 | $3,086 | $6,502 | $6,966 | $2,569–$10,448 |
| Illinois (statewide) | 28 | $3,476 | $3,976 | $6,521 | $2,681–$8,147 |
| Indiana (statewide) | 25 | $3,820 | $5,873 | $6,618 | $1,905–$10,368 |
| Iowa (statewide) | 17 | $2,836 | $4,252 | $5,398 | $1,528–$8,645 |
| Kansas (statewide) | 8 | $4,504 | $5,238 | $6,156 | $3,270–$15,112 |
| Kentucky (statewide) | 14 | $3,347 | $3,827 | $4,248 | $2,152–$5,710 |
| Las Vegas NV | 2 | — | — | — | $2,586–$3,010 |
| Los Angeles CA | 18 | $5,182 | $5,818 | $8,008 | $4,428–$20,636 |
| Louisiana (statewide) | 22 | $2,578 | $3,190 | $3,994 | $1,743–$9,240 |
| Maine (statewide) | 15 | $11,237 | $12,889 | $13,046 | $7,004–$16,402 |
| Maryland (statewide) | 1 | — | — | — | $9,270–$9,270 |
| Massachusetts (statewide) | 5 | $2,670 | $3,320 | $3,807 | $2,503–$4,076 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,584–$5,584 |
| Michigan (statewide) | 24 | $2,764 | $2,950 | $3,638 | $1,433–$4,785 |
| Minneapolis-St. Paul MN | 7 | $3,893 | $3,924 | $4,672 | $3,699–$5,903 |
| Minnesota (statewide) | 11 | $6,033 | $7,417 | $8,820 | $3,790–$10,381 |
| Mississippi (statewide) | 14 | $1,801 | $3,870 | $4,408 | $1,801–$7,570 |
| Missouri (statewide) | 13 | $4,938 | $6,140 | $6,290 | $1,634–$6,897 |
| Montana (statewide) | 5 | $5,759 | $6,181 | $7,940 | $5,604–$8,384 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,078 | $1,869–$5,653 |
| Nebraska (statewide) | 15 | $3,882 | $8,458 | $8,645 | $1,528–$18,020 |
| Nevada (statewide) | 6 | $2,492 | $3,934 | $5,510 | $2,460–$6,483 |
| New Hampshire (statewide) | 6 | $8,450 | $8,907 | $10,777 | $7,121–$12,430 |
| New Jersey (statewide) | 21 | $3,460 | $7,200 | $7,773 | $3,182–$11,208 |
| New Mexico (statewide) | 8 | $4,278 | $5,828 | $9,073 | $1,939–$11,149 |
| New York (statewide) | 30 | $3,205 | $4,360 | $6,073 | $1,893–$9,883 |
| New York City | 8 | $3,205 | $3,370 | $6,024 | $3,205–$8,726 |
| North Carolina (statewide) | 4 | — | — | — | $3,928–$9,044 |
| North Dakota (statewide) | 5 | $4,958 | $5,000 | $6,415 | $4,744–$8,002 |
| Ohio (statewide) | 38 | $3,759 | $6,153 | $8,301 | $1,672–$10,668 |
| Oklahoma (statewide) | 10 | $3,029 | $5,676 | $6,564 | $1,861–$10,430 |
| Oregon (statewide) | 9 | $7,022 | $8,428 | $10,189 | $6,234–$12,743 |
| Pennsylvania (statewide) | 31 | $3,616 | $6,334 | $9,326 | $2,134–$12,768 |
| Philadelphia PA | 11 | $4,551 | $4,689 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,033 | $3,065 | $3,153 | $2,936–$3,418 |
| Pittsburgh PA | 7 | $3,736 | $5,031 | $5,788 | $2,766–$6,902 |
| Portland OR | 9 | $10,273 | $10,273 | $11,516 | $9,761–$11,516 |
| Rhode Island (statewide) | 3 | — | — | — | $5,451–$8,778 |
| Richmond VA | 3 | — | — | — | $6,342–$7,051 |
| Rio Grande Valley TX | 6 | $3,618 | $3,699 | $5,309 | $3,607–$5,830 |
| Salt Lake City UT | 9 | $3,206 | $3,206 | $3,206 | $2,556–$3,206 |
| San Antonio TX | 3 | — | — | — | $3,556–$4,807 |
| San Diego CA | 7 | $6,069 | $6,069 | $6,108 | $5,105–$6,583 |
| San Francisco Bay Area CA | 5 | $6,682 | $7,173 | $8,660 | $5,788–$22,041 |
| Seattle-Tacoma WA | 16 | $7,146 | $7,896 | $8,232 | $5,464–$10,032 |
| South Carolina (statewide) | 29 | $7,414 | $9,226 | $12,760 | $3,976–$14,603 |
| South Dakota (statewide) | 6 | $3,923 | $5,271 | $5,360 | $1,479–$14,312 |
| St. Louis MO | 2 | — | — | — | $3,234–$3,234 |
| Tampa FL | 6 | $8,201 | $8,201 | $8,201 | $3,812–$10,426 |
| Tennessee (statewide) | 21 | $2,706 | $3,147 | $3,774 | $2,567–$5,813 |
| Texas (statewide) | 74 | $3,237 | $4,807 | $5,170 | $1,990–$9,883 |
| Utah (statewide) | 6 | $2,616 | $3,002 | $3,206 | $2,556–$3,206 |
| Virginia (statewide) | 19 | $7,208 | $8,517 | $9,130 | $4,936–$11,260 |
| Washington (statewide) | 10 | $7,073 | $7,820 | $8,698 | $5,699–$15,277 |
| Washington DC | 9 | $5,310 | $5,689 | $5,689 | $4,169–$5,689 |
| West Virginia (statewide) | 5 | $3,836 | $9,023 | $11,103 | $3,044–$18,479 |
| Wisconsin (statewide) | 36 | $4,472 | $6,904 | $7,250 | $1,949–$10,464 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Holland Hospital | Michigan (statewide) | $1,433 | 0.5× | 3 | 2026-09-21 |
| Brookings Health System | South Dakota (statewide) | $1,479 | 0.5× | 1 | 2026-05-18 |
| Chi Health - Mercy Corning | Iowa (statewide) | $1,528 | 0.6× | 10 | 2026-02-28 |
| Chi Health Missouri Valley | Iowa (statewide) | $1,528 | 0.5× | 10 | 2026-02-28 |
| Chi Health Schuyler | Nebraska (statewide) | $1,528 | 0.5× | 11 | 2026-02-28 |
| Chi Health Plainview | Nebraska (statewide) | $1,528 | 0.5× | 11 | 2026-02-28 |
| Chi Health St Mary'S | Nebraska (statewide) | $1,528 | 0.5× | 9 | 2026-02-28 |
| Baptist Hospital | Florida (statewide) | $1,550 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,550 | 0.5× | 8 | 2025-12-23 |
| Mt San Rafael Hospital | Colorado (statewide) | $1,562 | 0.5× | 5 | 2026-07-23 |
| Gulf Breeze Hospital | Florida (statewide) | $1,565 | 0.5× | 8 | 2025-12-23 |
| Mercy Hospital Springfield | Missouri (statewide) | $1,634 | 0.6× | 18 | 2026-06-04 |
| Providence Alaska Medical Center | Alaska (statewide) | $15,112 | 4.9× | 2 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $15,112 | 5.8× | 2 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $15,277 | 4.9× | 4 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $16,285 | 6.1× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $16,285 | 6.7× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $16,402 | 6.0× | 1 | 2025-09-09 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 6.3× | 6 | 2026-02-28 |
| Logan Regional Medical Center | West Virginia (statewide) | $18,479 | 6.9× | 1 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.4× | 3 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for anal fistula surgery?
Across 1136 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 46270, hospital outpatient is $4,975, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,347 to $7,064. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for anal fistula surgery?
Medicare's national hospital outpatient rate for CPT 46270 is $2,836 and its surgery-center rate is $1,433, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for anal fistula surgery?
Lowest medians: Holland Hospital ($1,433), Helen Newberry Joy Hospital ($1,433), Chi Health - Mercy Corning ($1,446). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Logan Regional Medical Center ($18,479). Coverage: every hospital whose price file we could read.