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.
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CPT 46270: Remove Anal Fist Subq
94 hospitals in 33 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $4,975–$4,975 |
| Austin TX | 2 | — | — | — | $2,250–$5,926 |
| Boston MA | 7 | $3,555 | $3,743 | $4,198 | $3,298–$5,596 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $4,200 | $4,897 | $5,636 | $3,751–$7,210 |
| Cleveland OH | 5 | $5,248 | $5,685 | $6,514 | $3,256–$6,634 |
| Columbus OH | 1 | — | — | — | $9,983–$9,983 |
| Dallas-Fort Worth TX | 4 | — | — | — | $5,978–$8,938 |
| Denver CO | 7 | $3,431 | $4,558 | $4,698 | $2,452–$5,980 |
| Detroit MI | 6 | $2,961 | $3,347 | $3,347 | $2,406–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $5,506–$5,506 |
| Las Vegas NV | 2 | — | — | — | $2,460–$3,272 |
| Los Angeles CA | 2 | — | — | — | $7,494–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,048–$6,048 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $2,852–$2,852 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $4,254–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $6,344–$6,344 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,169–$3,418 |
| Portland OR | 6 | $10,273 | $10,273 | $11,538 | $10,273–$11,960 |
| Richmond VA | 2 | — | — | — | $6,342–$6,342 |
| San Antonio TX | 1 | — | — | — | $5,087–$5,087 |
| San Diego CA | 1 | — | — | — | $3,570–$3,570 |
| San Francisco Bay Area CA | 3 | — | — | — | $20,580–$22,041 |
| Seattle-Tacoma WA | 6 | $8,714 | $9,431 | $10,376 | $7,467–$11,194 |
| St. Louis MO | 3 | — | — | — | $2,022–$4,953 |
| Tampa FL | 2 | — | — | — | $3,812–$8,201 |
| Washington DC | 5 | $4,156 | $4,164 | $4,974 | $3,400–$5,955 |
| Wisconsin (statewide) | 1 | — | — | — | $4,744–$4,744 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital St Louis | St. Louis MO | $2,022 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $2,022 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $2,250 | 0.8× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $2,406 | 0.9× | 16 | 2026-03-31 |
| Adventhealth Porter | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $2,460 | 0.8× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 1.0× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,715 | 1.0× | 7 | 2025-10-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $2,832 | 1.0× | 1 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $2,852 | 1.0× | 4 | 2026-03-31 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,169 | 1.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,169 | 1.1× | 5 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,256 | 1.2× | 3 | 2026-07-14 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,272 | 1.1× | 7 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,298 | 1.0× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| George Washington Univ Hospital | Washington DC | $3,400 | 1.0× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 1.1× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $3,476 | 1.0× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $3,570 | 1.0× | 1 | 2026-03-30 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.4× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $3,634 | 1.1× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $3,743 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 1.3× | 3 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $3,863 | 1.2× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.5× | 6 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $4,156 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $4,164 | 1.4× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,200 | 1.4× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $4,254 | 1.2× | 8 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $4,410 | 1.5× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.6× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $4,533 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,558 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,633 | 1.6× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.6× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,744 | 1.7× | 3 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $4,762 | 1.6× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,897 | 1.6× | 2 | 2026-04-01 |
| Mercy Hospital Jefferson | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-10 |
| Medstar Washington Hospital Center | Washington DC | $4,974 | 1.5× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $4,975 | 1.8× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 2.1× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,087 | 1.8× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $5,248 | 2.0× | 2 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $5,506 | 2.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $5,596 | 1.7× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.9× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,685 | 2.2× | 1 | 2026-06-15 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.7× | 5 | 2026-06-10 |
| Harper University Hospital | Detroit MI | $5,812 | 2.1× | 1 | 2026-09-02 |
| St David's Medical Center | Austin TX | $5,926 | 2.1× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $5,955 | 2.1× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $5,978 | 2.1× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 2.0× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 2.1× | 3 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 2.2× | 3 | 2026-06-29 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $6,344 | 2.4× | 4 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,514 | 2.5× | 2 | 2026-06-16 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,634 | 2.5× | 2 | 2026-06-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $6,794 | 2.4× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $7,210 | 2.4× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 2.4× | 3 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $7,467 | 2.3× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $7,494 | 2.1× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $8,201 | 2.8× | 3 | 2026-01-01 |
| St Clare Hospital | Seattle-Tacoma WA | $8,676 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $8,830 | 2.7× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $8,938 | 3.2× | 2 | 2026-04-21 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 2.6× | 7 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 3.2× | 3 | 2026-09-15 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $9,983 | 3.7× | 19 | 2026-03-31 |
| Swedish Medical Center | Seattle-Tacoma WA | $10,032 | 3.1× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $10,490 | 3.2× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $11,194 | 3.5× | 6 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 3.6× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 3.3× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| 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 |
CPT 46275: Remove Anal Fist Inter
92 hospitals in 33 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $4,975–$4,975 |
| Austin TX | 2 | — | — | — | $2,250–$5,926 |
| Boston MA | 7 | $3,555 | $3,743 | $4,198 | $3,298–$5,596 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 6 | $4,011 | $4,548 | $5,451 | $3,751–$7,210 |
| Cleveland OH | 5 | $4,977 | $5,685 | $6,438 | $3,174–$6,612 |
| Dallas-Fort Worth TX | 4 | — | — | — | $5,978–$8,938 |
| Denver CO | 7 | $3,431 | $4,558 | $4,698 | $2,452–$5,980 |
| Detroit MI | 6 | $2,988 | $3,347 | $3,347 | $2,436–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $5,506–$5,506 |
| Las Vegas NV | 2 | — | — | — | $2,460–$3,272 |
| Los Angeles CA | 2 | — | — | — | $10,163–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,048–$6,048 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $5,779–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $6,344–$6,344 |
| Pennsylvania (statewide) | 1 | — | — | — | $9,128–$9,128 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,065–$3,418 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $10,273 | $10,273 | $11,538 | $10,273–$11,960 |
| Richmond VA | 2 | — | — | — | $6,342–$6,342 |
| San Antonio TX | 1 | — | — | — | $5,087–$5,087 |
| San Diego CA | 1 | — | — | — | $3,570–$3,570 |
| San Francisco Bay Area CA | 2 | — | — | — | $20,580–$22,041 |
| Seattle-Tacoma WA | 6 | $8,714 | $9,431 | $10,376 | $7,467–$11,194 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $3,812–$8,201 |
| Washington DC | 4 | — | — | — | $3,400–$5,955 |
| Wisconsin (statewide) | 1 | — | — | — | $4,744–$4,744 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,250 | 0.8× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $2,436 | 0.9× | 16 | 2026-03-31 |
| Adventhealth Porter | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $2,460 | 0.8× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 1.0× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,715 | 1.0× | 7 | 2025-10-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $2,868 | 1.0× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,065 | 1.0× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,065 | 1.0× | 5 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,174 | 1.2× | 4 | 2026-07-14 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,272 | 1.1× | 7 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,298 | 1.0× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| George Washington Univ Hospital | Washington DC | $3,400 | 1.0× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 1.1× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $3,476 | 1.0× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $3,570 | 1.0× | 1 | 2026-03-30 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.4× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $3,634 | 1.1× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $3,743 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 1.3× | 3 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $3,863 | 1.2× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $3,948 | 1.3× | 2 | 2026-03-31 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.5× | 6 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $4,156 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $4,164 | 1.4× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,200 | 1.4× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $4,410 | 1.5× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.6× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $4,533 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,558 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,633 | 1.6× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.6× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,744 | 1.7× | 3 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $4,762 | 1.6× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,897 | 1.6× | 2 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-04 |
| Mercy Hospital South | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-10 |
| Emory University Hospital | Atlanta GA | $4,975 | 1.8× | 6 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $4,977 | 1.9× | 1 | 2026-06-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 1.9× | 1 | 2026-03-06 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 2.1× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,087 | 1.8× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $5,506 | 2.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $5,596 | 1.7× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.9× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,685 | 2.2× | 1 | 2026-06-15 |
| Montefiore Medical Center | New York City | $5,779 | 1.7× | 8 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.7× | 5 | 2026-06-10 |
| Harper University Hospital | Detroit MI | $5,812 | 2.1× | 1 | 2026-09-02 |
| St David's Medical Center | Austin TX | $5,926 | 2.1× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $5,955 | 2.1× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $5,978 | 2.1× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 2.0× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 2.1× | 3 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 2.2× | 3 | 2026-06-29 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $6,344 | 2.4× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,438 | 2.5× | 1 | 2026-06-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,612 | 2.5× | 3 | 2026-06-16 |
| Medical City Mckinney | Dallas-Fort Worth TX | $6,794 | 2.4× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $7,210 | 2.4× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 2.4× | 3 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $7,467 | 2.3× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $8,201 | 2.8× | 3 | 2026-01-01 |
| St Clare Hospital | Seattle-Tacoma WA | $8,676 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $8,830 | 2.7× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $8,938 | 3.2× | 2 | 2026-04-21 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 2.6× | 7 | 2026-01-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $9,128 | 3.2× | 8 | 2026-07-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 3.2× | 3 | 2026-09-15 |
| Swedish Medical Center | Seattle-Tacoma WA | $10,032 | 3.1× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,163 | 2.9× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $10,490 | 3.2× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $11,194 | 3.5× | 6 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 3.6× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 3.3× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| 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 |
Questions
How much do commercial insurers pay hospitals for anal fistula surgery?
Across 94 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 46270, hospital outpatient is $5,013, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,578 to $7,453. 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: Ascension Saint Thomas Rutherford ($1,869), Mercy Hospital St Louis ($2,022), Mercy Hospital South ($2,022). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), John Muir Medical Center - Concord Campus ($20,580). Coverage is limited to the markets listed on this page.